Provider Demographics
NPI:1467446864
Name:ZACHAZEWSKI, JAMES E (PT, DPT, ATC, SCS)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:E
Last Name:ZACHAZEWSKI
Suffix:
Gender:M
Credentials:PT, DPT, ATC, SCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47 FULLER BROOK AVE
Mailing Address - Street 2:
Mailing Address - City:NEEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02492
Mailing Address - Country:US
Mailing Address - Phone:781-433-0630
Mailing Address - Fax:
Practice Address - Street 1:175 CAMBRIDGE STREET
Practice Address - Street 2:SUIITE 470
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2621
Practice Address - Country:US
Practice Address - Phone:617-643-1230
Practice Address - Fax:617-643-3436
Is Sole Proprietor?:No
Enumeration Date:2005-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPT-47732251S0007X
CAPT-92672251S0007X
MAAT-2782255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports
Not Answered2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer