Active NPI
Jamie L Missios, PT
- Physical Therapist
- South Dennis, MA
National Provider Identifier
1326289919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 18588
- Practice address
- 485 Route 134
South Dennis, MA 02660-3431 - Phone
- (508) 394-0941
- NPI assigned
- Mar 12, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 22510000X | MA | |
| Physical Therapist | 225100000X | 18588 | MA | Primary |
Addresses
Primary practice location
485 Route 134
South Dennis, MA 02660-3431
Mailing address
4714 Gettysburg Rd
Mechanicsburg, PA 17055-4325
Phone (888) 238-9408
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 225100000X | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22510000X | MA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DG Physical Therapy, P.C. | Current | Accepting new patients | |
| DG Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
Locations
4 Meeting House Rd
Ste 5
Chelmsford, MA 01824
Phone (978) 970-2460
4714 Gettysburg Rd
Mechanicsburg, PA 17055
Phone (888) 735-6332
Organizations & group practices 2
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.
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Chelmsford, MA
- NPI 1295279198
Physical Therapist
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- North Grafton, MA
- NPI 1881270544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589328000000",
"number": "1326289919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4714 GETTYSBURG RD",
"city": "MECHANICSBURG",
"state": "PA",
"postal_code": "170554325",
"telephone_number": "888-238-9408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "485 ROUTE 134",
"city": "SOUTH DENNIS",
"state": "MA",
"postal_code": "026603431",
"telephone_number": "508-394-0941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MISSIOS",
"first_name": "JAMIE",
"middle_name": "L",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-12",
"last_updated": "2020-05-13",
"certification_date": "2020-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "MA",
"license": "22510000X",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "18588",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "225100000X",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Dennis, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.