Provider Demographics
NPI:1548224017
Name:SWEATT, NANCY E (PT)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:E
Last Name:SWEATT
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 1:485 ARSENAL ST
Mailing Address - Street 2:
Mailing Address - City:WATERTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02472-5091
Mailing Address - Country:US
Mailing Address - Phone:617-972-5288
Mailing Address - Fax:617-972-5439
Practice Address - Street 1:485 ARSENAL ST
Practice Address - Street 2:
Practice Address - City:WATERTOWN
Practice Address - State:MA
Practice Address - Zip Code:02472-5091
Practice Address - Country:US
Practice Address - Phone:617-972-5288
Practice Address - Fax:617-972-5439
Is Sole Proprietor?:No
Enumeration Date:2006-04-13
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA15491225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0022059OtherNEIGHBORHOOD HEALTH PLAN
MA0333344Medicaid
MAB501027OtherCIGNA
MA908025OtherTUFTS HEALTH PLAN
MAHV0001OtherHARVARD PILGRIM
MAY67888OtherBLUE CROSS
MAB501027OtherCIGNA