Provider Demographics
NPI:1285687608
Name:MARCOTTE, JAMES (PT)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:MARCOTTE
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
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Mailing Address - Street 1:1 CREDIT UNION WAY FL 3
Mailing Address - Street 2:
Mailing Address - City:RANDOLPH
Mailing Address - State:MA
Mailing Address - Zip Code:02368-4633
Mailing Address - Country:US
Mailing Address - Phone:781-961-3370
Mailing Address - Fax:781-961-1291
Practice Address - Street 1:425 WAVERLY OAKS RD
Practice Address - Street 2:
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02452-8448
Practice Address - Country:US
Practice Address - Phone:781-373-3620
Practice Address - Fax:781-373-3953
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2018-10-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA13131225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAVX0766Medicare PIN