Provider Demographics
NPI:1295750420
Name:RIGBY, MICHELLE (PT)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:
Last Name:RIGBY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:SHELLI
Other - Middle Name:
Other - Last Name:RUMPF
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT
Mailing Address - Street 1:102 CRESCENT HILL AVE
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02474-2531
Mailing Address - Country:US
Mailing Address - Phone:608-213-7457
Mailing Address - Fax:
Practice Address - Street 1:102 CRESCENT HILL AVE
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:MA
Practice Address - Zip Code:02474-2531
Practice Address - Country:US
Practice Address - Phone:608-213-7457
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2017-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA19695174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN12156381OtherOPTUMHEALTH CARE SOLUTIONS-PHYSICAL HEALTH
MA12156381OtherBLUE CROSS BLUE SHIELD OF MA
MA12156381OtherTUFT HEALTH PLAN
MA12156381OtherFALLON COMMUNITY HEALTH
WI40409000Medicaid
MA12156381OtherTUFT HEALTH PLAN