Provider Demographics
NPI:1336278696
Name:NEWMAN, JOSHUA (MSPT)
Entity Type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:
Last Name:NEWMAN
Suffix:
Gender:M
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 MINOT ST
Mailing Address - Street 2:APT B
Mailing Address - City:WOBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01801-1509
Mailing Address - Country:US
Mailing Address - Phone:781-271-8811
Mailing Address - Fax:781-271-5741
Practice Address - Street 1:202 BURLINGTON RD
Practice Address - Street 2:MS M001
Practice Address - City:BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:01730-1407
Practice Address - Country:US
Practice Address - Phone:781-271-8811
Practice Address - Fax:781-271-5741
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA16011225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY68057OtherBCBS PROVIDER#
MAAA49795OtherHARVARD PILGRIM PROVIDER#
MA695038OtherUHC PROVIDER#
MAAA49795OtherHARVARD PILGRIM PROVIDER#