Provider Demographics
NPI:1659348126
Name:MIDDLESEX REHABILITATION ASSOCIATES, INC
Entity Type:Organization
Organization Name:MIDDLESEX REHABILITATION ASSOCIATES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:GARAGLIANO
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:978-562-0345
Mailing Address - Street 1:131 COOLIDGE ST
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:MA
Mailing Address - Zip Code:01749-1331
Mailing Address - Country:US
Mailing Address - Phone:978-562-0345
Mailing Address - Fax:978-562-0257
Practice Address - Street 1:131 COOLIDGE ST
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:MA
Practice Address - Zip Code:01749-1331
Practice Address - Country:US
Practice Address - Phone:978-562-0345
Practice Address - Fax:978-562-0257
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA9723447Medicaid
MA41831OtherAETNA
MA60007/MIDDLEOtherTUFTS HEALTH PLAN
MA601254OtherHARVARD PILGRIM HEALTH CA
MA64-00056OtherUNITED HEALTH CARE
MAY65549OtherBLUE CROSS BLUE SHIELD
MAY65549OtherBLUE CROSS BLUE SHIELD