Individual provider Active NPI

Jennifer Desormeau Chase, PT,MSPT

  • Physical Therapist
  • Fall River, MA
National Provider Identifier
1043019169
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11814 Issued in MA
Practice address
4263 N Main St
Fall River, MA 02720-1714
Phone
(774) 955-5830
NPI assigned
Mar 11, 2025
Last updated
Nov 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11814 MA Primary

Addresses

Primary practice location

4263 N Main St
Fall River, MA 02720-1714

Mailing address

73 Cliff Dr
Assonet, MA 02702-1377
Phone (781) 526-5948

Other names 1

  • Jennifer Desormeau Jackson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250618001573 MA Practitioner - Physical Therapist in Private Practice 6507377397 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Connections Physical Therapy, Inc.Group PAC ID 3577456623, 88 clinicians

Practice addresses (Care Compare)

4263 N Main St
Fall River, MA 02720-1714
Phone (774) 955-5830

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Connections Physical Therapy Inc Physical Therapist CurrentSince Jan 1, 2026 Accepting new patients
Physical Therapy Center, Inc Physical Therapist PastSince Jun 2, 2025 Accepting new patients

Locations

4263 N Main St
Fall River, MA 02720
Phone (508) 245-2508

4263 N Main St
Ste 6
Fall River, MA 02720
Phone (508) 245-2508

406R Washington St
Holliston, MA 01746
Phone (508) 429-4940

60 Messenger St
Plainville, MA 02762
Phone (508) 695-0055

110 Cedar St
Wellesley Hills, MA 02481
Phone (781) 237-1769

110 Cedar St
Ste 100
Wellesley Hills, MA 02481
Phone (617) 921-4336

Organizations & group practices 2

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1741651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1043019169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 CLIFF DR",
            "city": "ASSONET",
            "state": "MA",
            "postal_code": "027021377",
            "telephone_number": "781-526-5948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4263 N MAIN ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027201714",
            "telephone_number": "774-955-5830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHASE",
        "first_name": "JENNIFER",
        "middle_name": "DESORMEAU",
        "name_prefix": "Mrs.",
        "credential": "PT,MSPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-11",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "11814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "JACKSON",
            "middle_name": "DESORMEAU",
            "credential": "PT, MSPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fall River, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.