Niketa Kedar Jayawant

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

23502 Issued in MA

Practice address

200 Governors Ave
Medford, MA 02155-1644

Phone

(781) 391-5400

NPI assigned

Mar 3, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bay State Physical Therapy of Randolph IncGroup PAC ID 6305744251, 451 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

85.19 of 100Reported as group

Quality

86.04

Improvement activities

40

Cost

76.23

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Bay State Physical Therapy of Randolph Inc

  • Physical Therapist
  • Fall River, MA
  • NPI 1164474334
  Medicare reassignment Care Compare group
• Performance Rehabilitation of Western New England LLC

  • Physical Therapist
  • West Springfield, MA
  • NPI 1710919063
  Medicare reassignment NPD
• Bay State Physical Therapy of Randolph Inc

  • Chiropractor
  • Quincy, MA
  • NPI 1316507627
  NPD
• Performance Rehabilitation of Western New England LLC

  • Durable Medical Equipment & Medical Supplies
  • Wilbraham, MA
  • NPI 1376140566

  Physical Therapist

  NPD

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

{
    "created_epoch": "1520035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1265934475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 REVERE BEACH PKWY APT 518",
            "city": "EVERETT",
            "state": "MA",
            "postal_code": "021495969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 GOVERNORS AVE",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021551644",
            "telephone_number": "781-391-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAYAWANT",
        "first_name": "NIKETA",
        "middle_name": "KEDAR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-03",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "23502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Jansen, D.C.
• Jason M Gilbert MD PC
• Jason M. Gilbert MDPC
• Jason M. Gilbert, M.D. P.C.
• Jason M. Gilbert, M.D.P.C.
• Sabina F Jean Blanc, DOULA
• Jasmine Jean, OTR/L
• Lindsey Jeffries
• Dawna K Jenne, LMFT
• JMG Macipa LLC

• Physical Therapist in Medford, MA
• Providers in Medford, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; 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.