Jessy Matthew Garrett, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PA6296 Issued in ME

Practice address

95 Skowhegan Rd
Fairfield, ME 04937-3479

Phone

(207) 453-1330

NPI assigned

Aug 31, 2022

Last updated

Aug 31, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1661904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1134849110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 MARTIN AVE",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049014628",
            "telephone_number": "207-250-1065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 SKOWHEGAN RD",
            "city": "FAIRFIELD",
            "state": "ME",
            "postal_code": "049373479",
            "telephone_number": "207-453-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRETT",
        "first_name": "JESSY",
        "middle_name": "MATTHEW",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-31",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "ME",
            "license": "PA6296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jennifer L Giroux, OTA/L
• Tracey S Glinko, DDS
• Kelsey Jean Gwazdosky, RN, BSN
• Jessica Lee Gyles, RN
• Dana M Haddad, MA, CCC-SLP

• Physical Therapy Assistant in Fairfield, ME
• Providers in Fairfield, ME by specialty
• Physical Therapy Assistant in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.