Individual provider Active NPI

Jack Malafronte, PT, DPT, ATC

  • Sports Physical Therapist
  • Foxborough, MA
National Provider Identifier
1194209205
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physical TherapistTaxonomy code 2251S0007X
License
PTL27656 Issued in MA
Practice address
1776 Revolution Way
Foxborough, MA 02035-1157
Phone
(781) 812-8209
NPI assigned
Sep 25, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical Therapist 2251S0007X 36267 FL
Athletic Trainer 2255A2300X ATL3113 MA
Athletic Trainer 2255A2300X 6080 FL
Sports Physical Therapist 2251S0007X PTL27656 MA Primary

Addresses

Primary practice location

1776 Revolution Way
Foxborough, MA 02035-1157

Mailing address

40 Sheri LN
Weymouth, MA 02190-1241

Other practice location 1

2221 S Dale Mabry Hwy
Tampa, FL 33629-6313
Phone (813) 497-5059

Other practice location 2

408 Lincoln St
Abington, MA 02351-1669
Phone (781) 812-8209

Other practice location 3

1776 Revolution Way
Foxborough, MA 02035-1157
Phone (781) 812-8209

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
36267FLMDSports Physical Therapist
PTL27656MAMDSports Physical Therapist
ATL3113MAMDAthletic Trainer
6080FLMDSNF/Subacute Care Registered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
University Community Hospital, Inc PastSince Nov 1, 2020 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1537833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1194209205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 SHERI LN",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021901241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 REVOLUTION WAY",
            "city": "FOXBOROUGH",
            "state": "MA",
            "postal_code": "020351157",
            "telephone_number": "781-812-8209"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2221 S Dale Mabry Hwy",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336296313",
            "country_code": "US",
            "telephone_number": "813-497-5059",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "408 Lincoln St",
            "address_purpose": "LOCATION",
            "city": "Abington",
            "state": "MA",
            "postal_code": "023511669",
            "country_code": "US",
            "telephone_number": "781-812-8209",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1776 Revolution Way",
            "address_purpose": "LOCATION",
            "city": "Foxborough",
            "state": "MA",
            "postal_code": "020351157",
            "country_code": "US",
            "telephone_number": "781-812-8209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALAFRONTE",
        "first_name": "JACK",
        "credential": "PT, DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-25",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "FL",
            "license": "36267",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MA",
            "license": "ATL3113",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "6080",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "MA",
            "license": "PTL27656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Foxborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; 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.