Provider Demographics
NPI:1700927399
Name:ONORATO, KERRY H (PT, DPT,PCS)
Entity Type:Individual
Prefix:MRS
First Name:KERRY
Middle Name:H
Last Name:ONORATO
Suffix:
Gender:F
Credentials:PT, DPT,PCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 BOG HOLLOW DR
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02360-1798
Mailing Address - Country:US
Mailing Address - Phone:774-283-2552
Mailing Address - Fax:508-224-4581
Practice Address - Street 1:17 BOG HOLLOW DR
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02360-1798
Practice Address - Country:US
Practice Address - Phone:774-283-2552
Practice Address - Fax:508-224-4581
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2012-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA23052035862251P0200X
MAAH 5141-PT2251P0200X
NY017164-12251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics