Active NPI
Jill S Pearlman, PT
- Physical Therapist
- Lynn, MA
National Provider Identifier
1184180564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3653
- Practice address
- 37 Friend St
Lynn, MA 01902-3068 - Phone
- (781) 581-7565
- NPI assigned
- Feb 11, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3653 | MA | Primary |
Addresses
Primary practice location
37 Friend St
Lynn, MA 01902-3068
Mailing address
30 Lakeview Ave
Wakefield, MA 01880-1042
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3673 | Other | MA | PHYSICAL THERAPY LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3653 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549843200000",
"number": "1184180564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 LAKEVIEW AVE",
"city": "WAKEFIELD",
"state": "MA",
"postal_code": "018801042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 FRIEND ST",
"city": "LYNN",
"state": "MA",
"postal_code": "019023068",
"telephone_number": "781-581-7565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARLMAN",
"first_name": "JILL",
"middle_name": "S",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-11",
"last_updated": "2019-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "3653",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY LICENSE",
"identifier": "3673",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lynn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.