Provider Demographics
NPI:1679553721
Name:BYLUND, BETH A (PT)
Entity Type:Individual
Prefix:
First Name:BETH
Middle Name:A
Last Name:BYLUND
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
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Mailing Address - Street 1:5 NEPONSET ST FL STREET2
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01606-2714
Mailing Address - Country:US
Mailing Address - Phone:508-368-5532
Mailing Address - Fax:508-721-1102
Practice Address - Street 1:385 SOUTHBRIDGE ST
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:MA
Practice Address - Zip Code:01501-2498
Practice Address - Country:US
Practice Address - Phone:508-721-1101
Practice Address - Fax:508-721-1102
Is Sole Proprietor?:No
Enumeration Date:2006-01-17
Last Update Date:2019-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA7392225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AA4052OtherHARVARD PILGRIM HEALTHCAR
042472266OtherPRIVATE HEALTHCARE SYSTEM
2779432OtherCIGNA HEALTH PLAN
MA0318833Medicaid
2779432001OtherCIGNA PAL ID
Y67946OtherBLUE SHIELD HMO BLUE
35481155OtherCIGNA HEALTHSOUCE
650017418OtherRAILROAD MEDICARE
Y67946OtherBLUE SHIELD IDEMNITY
042472266OtherTHREE RIVERS
42393OtherFALLON COMMUNITY HEALTH
042472266OtherHEALTHCARE VALUE MANAGEME
042472266OtherONE HEALTH PLAN
7985585OtherAETNA US HEALTHCARE
785948OtherMVP HEALTH CARE
Y67946OtherBLUE CARE ELECT
35481155OtherCIGNA HEALTHSOUCE