Jennifer M Deacon

Individual provider Active NPI Physical Therapist · Marshfield, MA

NPI 1003485780 · NPPES record last updated Jul 23, 2024

Key facts

NPI
1003485780
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
Practice address
737 Webster St
Marshfield, MA 02050-4952
Phone
(781) 908-0795
NPI assigned
Jun 17, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Bare Cove Wellness, LLC Health & Wellness Coach Current
since Oct 1, 2023
Accepting new patients

Locations

737 Webster St
Marshfield, MA 02050
Phone (781) 908-0795

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X MA
Physical Therapist 225100000X Yes

Addresses

Primary practice location

737 Webster St
Marshfield, MA 02050-4952

Mailing address

26 Taft Rd
Weymouth, MA 02188-3620
Phone (781) 908-0795

Other practice location 1

26 Taft Rd
Weymouth, MA 02188-3620
Phone (781) 908-0795

Other providers in Marshfield, MA

All providers in Marshfield, MA · Physical Therapist in Massachusetts

Sources for this page

Verify at the official NPI Registry.