Basic Information
Provider Information
NPI: 1811440936
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: WHITEHILL
FirstName: ELIZABETH
MiddleName: LYNN
NamePrefix:  
NameSuffix:  
Credential: PT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 101 CAMBRIDGE ST
Address2: C/O ORTHOPAEDICS PLUS
City: BURLINGTON
State: MA
PostalCode: 018033766
CountryCode: US
TelephoneNumber: 7812298011
FaxNumber: 7812298374
Practice Location
Address1: 100 CUMMINGS CTR
Address2: SUITE 121Q, C/O ORTHOPAEDICS PLUS
City: BEVERLY
State: MA
PostalCode: 019156115
CountryCode: US
TelephoneNumber: 9789270907
FaxNumber: 9789270537
Other Information
ProviderEnumerationDate: 07/25/2016
LastUpdateDate: 07/26/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2251X0800X  Y Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic

No ID Information.


Home