Active NPI
Jody A Naiberg, DPT
- Physical Therapist
- Newton, MA
National Provider Identifier
1437344579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 18003
- Practice address
- 425 Centre St
Newton, MA 02458-2063 - Phone
- (617) 244-1990
- Fax
- (617) 244-1811
- NPI assigned
- Sep 12, 2007
- Last updated
- Sep 12, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 18003 | MA | Primary |
Addresses
Primary practice location
425 Centre St
Newton, MA 02458-2063
Mailing address
250 E Main St
Norton, MA 02766-2436
Phone (508) 285-4155
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
| License | State | Type | Specialty |
|---|---|---|---|
| 18003 | MA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marathon Physical Therapy and Sports Medicine, 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Newton, MA
- NPI 1346373115
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189555200000",
"number": "1437344579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 E MAIN ST",
"city": "NORTON",
"state": "MA",
"postal_code": "027662436",
"telephone_number": "508-285-4155",
"fax_number": "508-285-4483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 CENTRE ST",
"city": "NEWTON",
"state": "MA",
"postal_code": "024582063",
"telephone_number": "617-244-1990",
"fax_number": "617-244-1811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAIBERG",
"first_name": "JODY",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-12",
"last_updated": "2007-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "18003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.