Jacqueline Cannan, DPT
Individual provider Active NPI Physical Therapist · Westwood, MA
NPI 1083379259 · NPPES record last updated Nov 3, 2021
Key facts
- NPI
- 1083379259
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- 101 Station Dr Ste 240
Westwood, MA 02090-2336 - Phone
- (617) 481-9077
- Fax
- (617) 687-0522
- NPI assigned
- Nov 3, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Yes |
Addresses
Primary practice location
101 Station Dr Ste 240
Westwood, MA 02090-2336
Mailing address
79 Charles St
Arlington, MA 02474-2828
Phone (781) 962-6575
Other providers in Westwood, MA
- Laura B Calabrese
- Gail Ann Calandrella
- David Calcagni
- Don Camelio
- Jay Donald Campbell
- Kelly Cannon
- Lisa M. Cannon
- Patricia I Carella
- Tome B Carreiro
- Kathleen M Carten
All providers in Westwood, MA · Physical Therapist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.