Active NPI
Jack Malafronte, PT, DPT, ATC
- Sports Physical Therapist
- Foxborough, MA
National Provider Identifier
1194209205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physical Therapist
- License
- PTL27656
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 36267 | FL | MD | Sports Physical Therapist |
| PTL27656 | MA | MD | Sports Physical Therapist |
| ATL3113 | MA | MD | Athletic Trainer |
| 6080 | FL | MD | SNF/Subacute Care Registered Respiratory Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Community Hospital, Inc | Past | 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.
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1053321919
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.