Provider Demographics
NPI:1245219112
Name:ALATALO, MARIA G (PT)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:G
Last Name:ALATALO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:225 NEW LANCASTER RD
Mailing Address - Street 2:
Mailing Address - City:LEOMINSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01453-4958
Mailing Address - Country:US
Mailing Address - Phone:978-840-1900
Mailing Address - Fax:978-840-1263
Practice Address - Street 1:225 NEW LANCASTER RD
Practice Address - Street 2:
Practice Address - City:LEOMINSTER
Practice Address - State:MA
Practice Address - Zip Code:01453-4958
Practice Address - Country:US
Practice Address - Phone:978-840-1900
Practice Address - Fax:978-840-1263
Is Sole Proprietor?:No
Enumeration Date:2006-01-10
Last Update Date:2022-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA15804225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
0396311OtherMEDICAID WELFARE
042472266OtherPRIVATE HEALTHCARE SYSTEM
042472266OtherTHREE RIVERS
AA4052OtherHARVARD PILGRIM HEALTHCAR
786723OtherMVP HEALTH CARE
042472266OtherHEALTHCARE VALUE MANAGEME
MA110020250AMedicaid
Y67988OtherBLUE SHIELD HMO BLUE
Y68891OtherMEDICARE B
7327596OtherAETNA US HEALTHCARE
Y67988OtherBLUE SHIELD INDEMNITY
2779432OtherCIGNA HEALTH PLAN
47074OtherCHILDRENS MEDICAL SECURIT
042472266OtherONE HEALTH PLAN
35481155OtherCIGNA HEALTHSOURCE
2779432001OtherCIGNA PAL ID
61611OtherFALLON COMMUNITY HEALTH
Y67988OtherBLUE CARE ELECT