Provider Demographics
NPI:1699739391
Name:MACHNIK, NANCIANN B (PT)
Entity type:Individual
Prefix:MS
First Name:NANCIANN
Middle Name:B
Last Name:MACHNIK
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
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Mailing Address - Street 1:PO BOX 8019
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01102-8000
Mailing Address - Country:US
Mailing Address - Phone:866-431-4077
Mailing Address - Fax:413-774-7448
Practice Address - Street 1:329 CONWAY ST
Practice Address - Street 2:GREENFIELD HEALTH CENTER
Practice Address - City:GREENFIELD
Practice Address - State:MA
Practice Address - Zip Code:01301-1526
Practice Address - Country:US
Practice Address - Phone:413-774-6301
Practice Address - Fax:413-772-6390
Is Sole Proprietor?:No
Enumeration Date:2006-04-12
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA3854225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0386499Medicaid
MA626166OtherHARVARD PILGRIM HEALTHCAR
MA712451OtherCONNECTICARE
MAY65787OtherBLUE CROSS BLUE SHIELD
MA123375OtherFALLON COMMUNITY HEALTH PLAN
MA24189OtherHEALTH NEW ENGLAND
MA7663749OtherAETNA/ US HEALTH CARE
MA00463345OtherRAILROAD MEDICARE PTAN
MA486929OtherTUFTS HEALTH PLAN
MA123375OtherFALLON COMMUNITY HEALTH PLAN