| Organization Name: | ULTRACARE, P.C. |
| NPI Number: | 1154728731 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KATHERINE ANNE VIVEIROS (BILLING MANAGER) |
| Mailing Address: | 157 Main St Brockton |
| State: | MA US |
| Postal Code: | 023014012 |
| Phone Number: | 5085104221 |
| Fax Number: | 5085105126 |
| NPI Enumeration Date: | 11/26/2014 |
| NPI Last Update Date: | 11/26/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 9396 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |