Provider Demographics
NPI:1881803377
Name:PIGNATO, JOHN JR (DPT)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:
Last Name:PIGNATO
Suffix:JR
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 1:449 EASTERN AVE
Mailing Address - Street 2:
Mailing Address - City:CHELSEA
Mailing Address - State:MA
Mailing Address - Zip Code:02150-3129
Mailing Address - Country:US
Mailing Address - Phone:617-466-1948
Mailing Address - Fax:
Practice Address - Street 1:449 EASTERN AVE
Practice Address - Street 2:
Practice Address - City:CHELSEA
Practice Address - State:MA
Practice Address - Zip Code:02150-3129
Practice Address - Country:US
Practice Address - Phone:617-466-1948
Practice Address - Fax:617-466-1504
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2019-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA16348208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation