Jessica Faulkner, PT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

27760 Issued in MA

Practice address

73 Princeton St # 8
North Chelmsford, MA 01863-1558

Phone

(978) 710-7204

NPI assigned

Aug 21, 2024

Last updated

Aug 21, 2024By the provider in NPPES

Sex

Female

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

Enrolled in MA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Boston Physical Therapy and Wellness, Inc.Group PAC ID 8123345139, 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Boston Physical Therapy & Wellness, Inc

  • Physical Therapist
  • Medford, MA
  • NPI 1114315579
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1144053620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 PEARL ST",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017604814",
            "telephone_number": "508-661-9024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 PRINCETON ST # 8",
            "city": "NORTH CHELMSFORD",
            "state": "MA",
            "postal_code": "018631558",
            "telephone_number": "978-710-7204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAULKNER",
        "first_name": "JESSICA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-21",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MA",
            "license": "27760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosemary Kathleen Duffy, PSY.D.
• Elite Services at Home LLC
• Emeritus Properties Ixllc (Brookdale North Chelmsford)
• Envision Physical Therapy and Wellness, LLC
• Nonnie Marie Estella, MD
• Michael A. Finkle, PH.D.
• Joseph Richard Fleck, DPM
• Olivia Flores-Bourgeois
• Richard D Folly, LICSW
• Foundation First Physical Therapy, LLC

• Orthopedic Physical Therapist in North Chelmsford, MA
• Providers in North Chelmsford, MA by specialty
• Orthopedic Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.