Provider Demographics
NPI:1699774349
Name:BYLER, PATRICIA LYNNE (PT)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:LYNNE
Last Name:BYLER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 PRENTICE ST
Mailing Address - Street 2:
Mailing Address - City:NORTH GRAFTON
Mailing Address - State:MA
Mailing Address - Zip Code:01536-1413
Mailing Address - Country:US
Mailing Address - Phone:508-839-1982
Mailing Address - Fax:
Practice Address - Street 1:157 UNION ST
Practice Address - Street 2:
Practice Address - City:MARLBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01752
Practice Address - Country:US
Practice Address - Phone:508-481-5000
Practice Address - Fax:508-303-2065
Is Sole Proprietor?:No
Enumeration Date:2005-07-15
Last Update Date:2007-07-08
Deactivation Date:2006-01-17
Deactivation Code:
Reactivation Date:2007-02-21
Provider Licenses
StateLicense IDTaxonomies
MA6463225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY61248OtherGROUP BCBSMA NUMBER
MAY68172OtherBCBSMA PROVIDER NUMBER
MABYY69112Medicare ID - Type Unspecified