Provider Demographics
NPI:1619931771
Name:SHIH, WEN-CHIH (PT)
Entity Type:Individual
Prefix:
First Name:WEN-CHIH
Middle Name:
Last Name:SHIH
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 1:228 BILLERICA RD
Mailing Address - Street 2:
Mailing Address - City:CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01824-3604
Mailing Address - Country:US
Mailing Address - Phone:978-250-6040
Mailing Address - Fax:978-244-6663
Practice Address - Street 1:228 BILLERICA RD
Practice Address - Street 2:
Practice Address - City:CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01824-3604
Practice Address - Country:US
Practice Address - Phone:978-250-6040
Practice Address - Fax:978-244-6663
Is Sole Proprietor?:No
Enumeration Date:2006-04-14
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8818225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAB501027OtherCIGNA
MA0014463OtherNEIGHBORHOOD HEALTH PLAN
MAB360OtherHARVARD PILGRIM
MAY67452OtherBLUE CROSS
MA0314668Medicaid
MA908025OtherTUFTS HEALTH PLAN
MA0014463OtherNEIGHBORHOOD HEALTH PLAN