Provider Demographics
NPI:1942288915
Name:CATY, MICHELLE D (PT)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:D
Last Name:CATY
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 1:630 PLANTATION ST
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01605
Mailing Address - Country:US
Mailing Address - Phone:508-871-0789
Mailing Address - Fax:508-366-9938
Practice Address - Street 1:106 E MAIN ST
Practice Address - Street 2:
Practice Address - City:WESTBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01581
Practice Address - Country:US
Practice Address - Phone:508-871-0789
Practice Address - Fax:508-366-9938
Is Sole Proprietor?:No
Enumeration Date:2006-01-09
Last Update Date:2009-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5295225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
650017388OtherRAILROAD MEDICARE
AA4052OtherHAVARD PLIGRIM HEALTH CAR
0316334OtherMEDICAID WELFARE
35481155OtherCIGNA HEALTHSOURCE
042472266OtherHEALTHCARE VALUE MANAGEME
042472266OtherPRIVATE HEALTHCARE SYSTEM
42395OtherFALLON COMMUNITY HEALTH P
7903664OtherAETNA US HEALTHCARE
Y67956OtherBLUE SHIELD INDEMNITY
0316334OtherHEALTHY START
2779432001OtherDIGNA PAL ID REFERRAL
788375OtherMVP HEALTH CARE
MA0316334Medicaid
042472266OtherONE HEALTH PLAN
Y67956OtherBLUE SHIELD HMO BLUE
Y68434OtherMEDICARE B
042472266OtherTHREE RIVERS
2779432OtherCIGNA HEALTH PLAN
Y67956OtherBLUE CARE ELECT
Y67956OtherBLUE SHIELD INDEMNITY