Jacalyn Jean Agrillo I, PT, MSPT
Individual provider Active NPI Physical Therapist · Melrose, MA
NPI 1326259342 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1326259342
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 17651 (MA)
- Practice address
- 585 Lebanon St
Melrose, MA 02176-3225 - Phone
- (781) 979-3563
- NPI assigned
- May 24, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17651 | MA | MD | Nutrition Support Pharmacist |
Interoperability endpoints
- jmeuse12363@direct.bilh.masshiway.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 17651 | MA | Yes |
Addresses
Primary practice location
585 Lebanon St
Melrose, MA 02176-3225
Mailing address
6 Bellantoni Dr
Acton, MA 01720-5342
Phone (978) 793-1491
Other providers in Melrose, MA
- Acupuncture and Herbal Health Therapies, Inc
- Laurie Adamson
- Advanced Derm Mass, LLC
- Advanced Dermatology and Aesthetic Center LLC
- Advanced Dermatology of Melrose, PLLC
- Daria Alaverdian
- Louis F Alfano Jr.
- Alliance Care Mobile X-Ray, LLC
- Allstate Care Inc
- Therese Almeida
All providers in Melrose, MA · Physical Therapist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.