Individual provider Active NPI

Jillian Sethares, PT, DPT

  • Physical Therapist
  • Fall River, MA
National Provider Identifier
1417685249
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
387 Quarry St Ste 102
Fall River, MA 02723-1026
Phone
(508) 324-9300
Fax
(508) 324-9309
NPI assigned
Aug 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X MA Primary

Addresses

Primary practice location

387 Quarry St Ste 102
Fall River, MA 02723-1026

Mailing address

387 Quarry St Ste 102
Fall River, MA 02723-1026
Phone (508) 324-9300

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jillian@nationalphysicaltherapy.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221026000085 MA Practitioner - Physical Therapist in Private Practice 2264808674 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
National Physical Therapy IncGroup PAC ID 5799717021, 5 clinicians

Practice addresses (Care Compare)

387 Quarry St
Suite 102
Fall River, MA 02723-1026
Phone (508) 324-9300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
National Physical Therapy, Inc. CurrentSince Aug 8, 2022 Accepting new patients

Locations

199 N Main St
Fall River, MA 02720
Phone (508) 324-9300

387 Quarry St
Ste 102
Fall River, MA 02723
Phone (508) 324-9300

387 Quarry St
Fall River, MA 02723
Phone (774) 322-1335

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": "1660089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1417685249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "387 QUARRY ST STE 102",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027231026",
            "telephone_number": "508-324-9300",
            "fax_number": "508-324-9309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "387 QUARRY ST STE 102",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027231026",
            "telephone_number": "508-324-9300",
            "fax_number": "508-324-9309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SETHARES",
        "first_name": "JILLIAN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-10",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jillian@nationalphysicaltherapy.com",
            "affiliation": "N",
            "address_1": "387 Quarry St Ste 102",
            "city": "Fall River",
            "state": "MA",
            "country_code": "US",
            "postal_code": "027231026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.