Provider Demographics
NPI:1851437040
Name:ROTHSCHILD, BRETTE (MSPT)
Entity Type:Individual
Prefix:MRS
First Name:BRETTE
Middle Name:
Last Name:ROTHSCHILD
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:MISS
Other - First Name:BRETTE
Other - Middle Name:M
Other - Last Name:RICHARDS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSPT
Mailing Address - Street 1:29 PINE ACRES DR
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02019-2154
Mailing Address - Country:US
Mailing Address - Phone:617-571-1433
Mailing Address - Fax:508-528-5729
Practice Address - Street 1:489 WASHINGTON ST
Practice Address - Street 2:SUITE 200
Practice Address - City:AUBURN
Practice Address - State:MA
Practice Address - Zip Code:01501-5709
Practice Address - Country:US
Practice Address - Phone:508-721-0000
Practice Address - Fax:508-721-0100
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2018-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA160482251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA470160OtherTUFTS INDIVISDUAL NUMBER
MAY68120OtherINDIVUAL BCBS
Y68997Medicare PIN
MAY68120OtherINDIVUAL BCBS
MAUX8241Medicare UPIN