Provider Demographics
NPI:1144940099
Name:GILCHREST, JOSEPH N (DPT)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:N
Last Name:GILCHREST
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:254 CHAPMAN RD STE 208
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702-5422
Mailing Address - Country:US
Mailing Address - Phone:774-249-3907
Mailing Address - Fax:
Practice Address - Street 1:415 NEPONSET AVE STE 2B
Practice Address - Street 2:
Practice Address - City:DORCHESTER
Practice Address - State:MA
Practice Address - Zip Code:02122-3169
Practice Address - Country:US
Practice Address - Phone:617-287-2225
Practice Address - Fax:617-287-2224
Is Sole Proprietor?:No
Enumeration Date:2022-08-31
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPTL26291225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist