Provider Demographics
NPI:1326136128
Name:VERES, AMY (PT)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:VERES
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:168 DENSLOW RD
Mailing Address - Street 2:
Mailing Address - City:EAST LONGMEADOW
Mailing Address - State:MA
Mailing Address - Zip Code:01028-3188
Mailing Address - Country:US
Mailing Address - Phone:413-526-9969
Mailing Address - Fax:413-526-9960
Practice Address - Street 1:168 DENSLOW RD
Practice Address - Street 2:
Practice Address - City:EAST LONGMEADOW
Practice Address - State:MA
Practice Address - Zip Code:01028-3188
Practice Address - Country:US
Practice Address - Phone:413-526-9969
Practice Address - Fax:413-526-9960
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2011-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA13277225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA28117OtherHEALTH NEW ENGLAND
MA7339777OtherAETNA INDIVIDUAL NO.
MA043527497OtherUNICARE/GIC
MA043527497OtherGREATWEST
MA0799637Medicaid
MAP00244067OtherPALMETTO RR MEDICARE
MA000000035264OtherBOSTON MEDICAL HEALTH NET GROUP
MA043527497OtherCONSOLIDATED
MA043527497OtherUNITED HEALTH CARE
MA494428OtherTUFTS INDIVIDUAL NO.
MA043527497OtherAETNA GROUP NO.
MA043527497OtherNORTH REGION/ TRICARE
MA043527497OtherPIONEER
0800013277MA01OtherANTHEM BC BS
MA103355100OtherDEPARTMENT OF LABOR
MA3775887OtherCIGNA INDIVIDUAL PROVIDER NO.
MA690675OtherTUFTS GROUP
MA043527497OtherCONNECTICARE
MA11535153OtherCAQH
MA000000035327OtherBOSTON MEDICAL HEALTH NET INDIVIDUAL NO.
MA043527497OtherCIGNA GROUP
0800013277MA02OtherANTHEM BC BS
MA972730OtherNETWORK GROUP
0800013277MA02OtherANTHEM BC BS
MA000000035327OtherBOSTON MEDICAL HEALTH NET INDIVIDUAL NO.
MA043527497OtherUNITED HEALTH CARE