Individual provider Active NPI

Jamie Davis

  • Physical Therapist
  • Dedham, MA
National Provider Identifier
1225594773
Registry record updated Feb 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
24089 Issued in MA
Practice address
200 Boston Providence Highway
Dedham, MA 02026
Phone
(781) 326-8332
NPI assigned
Feb 20, 2019
Last updated
Feb 20, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 24089 MA Primary

Addresses

Primary practice location

200 Boston Providence Highway
Dedham, MA 02026

Mailing address

7 J William HTS
Millis, MA 02054-1339

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190315001988 MA Practitioner - Physical Therapist in Private Practice 0749520468 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

655 Main St
Walpole, MA 02081-3717
Phone (508) 668-8900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Drac PT Inc Physical Therapist CurrentSince Feb 5, 2019 Accepting new patients
Bay State Physical Therapy of Randolph Inc CurrentSince Oct 18, 2021 Accepting new patients
Drac Physical Therapy, Inc. CurrentSince Feb 5, 2019 Accepting new patients

Locations

703 Granite St
Fl 3
Braintree, MA 02184

703 Granite St
Ste 300
Braintree, MA 02184
Phone (781) 807-6138

200 Vfw Pkwy
Dedham, MA 02026
Phone (781) 326-1464

10 E Belcher Rd
Foxboro, MA 02035
Phone (508) 668-8900

1343 Providence Hwy
Norwood, MA 02062
Phone (781) 702-1339

655 Main St
Walpole, MA 02081
Phone (508) 668-8900

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1550620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550620800000",
    "number": "1225594773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 J WILLIAM HTS",
            "city": "MILLIS",
            "state": "MA",
            "postal_code": "020541339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BOSTON PROVIDENCE HIGHWAY",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "02026",
            "telephone_number": "781-326-8332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JAMIE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-20",
        "last_updated": "2019-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "24089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dedham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; 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.