Active NPI
Jillian Alyson NG, P.T.
- Physical Therapist
- Boston, MA
National Provider Identifier
1265504484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 17709
- Practice address
- 75 Francis St
Rehab Services TR 2C
Boston, MA 02115-6110 - Phone
- (617) 732-6853
- NPI assigned
- Nov 14, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 17709 | MA | Primary |
Addresses
Primary practice location
75 Francis St
Rehab Services TR 2C
Boston, MA 02115-6110
Mailing address
62 Egmont St
Apt. #4
Brookline, MA 02446-6865
Phone (617) 304-3633
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 |
|---|---|---|---|
| 17709 | MA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265504484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "62 EGMONT ST",
"address_2": "APT. #4",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024466865",
"telephone_number": "617-304-3633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 FRANCIS ST",
"address_2": "REHAB SERVICES TR 2C",
"city": "BOSTON",
"state": "MA",
"postal_code": "021156110",
"telephone_number": "617-732-6853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NG",
"first_name": "JILLIAN",
"middle_name": "ALYSON",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "17709",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.