Individual provider Active NPI

Brigette Ann Jason, PT DPT

  • Pediatric Physical Therapist
  • Braintree, MA
National Provider Identifier
1346604154
Registry record updated May 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
19201 Issued in MA
Practice address
501 John Mahar Hwy Ste 100
Braintree, MA 02184-6563
Phone
(781) 214-1717
Fax
(339) 201-3374
NPI assigned
Apr 7, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X 19201 MA
Physical Therapist 225100000X 19201 MA
Pediatric Physical Therapist 2251P0200X 19201 MA Primary

Addresses

Primary practice location

501 John Mahar Hwy Ste 100
Braintree, MA 02184-6563

Mailing address

501 John Mahar Hwy Ste 100
Braintree, MA 02184-6563
Phone (781) 214-1717

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
19201MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Fern Practice, LLC Physical Therapist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1459987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652400000000",
    "number": "1346604154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 JOHN MAHAR HWY STE 100",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021846563",
            "telephone_number": "781-214-1717",
            "fax_number": "339-201-3374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 JOHN MAHAR HWY STE 100",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021846563",
            "telephone_number": "781-214-1717",
            "fax_number": "339-201-3374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASON",
        "first_name": "BRIGETTE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PT DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-07",
        "last_updated": "2022-05-13",
        "certification_date": "2022-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "MA",
            "license": "19201",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "19201",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "MA",
            "license": "19201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Braintree, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.