Jennifer Massar, PT MPT – Physical Therapist

Key facts

NPI: 1457779688
Entity type: Individual (NPI type 1)
Primary specialty: Physical Therapist 225100000X
License: 014153 (OH)
Practice address: 3057 Cleveland Ave SW
Canton, OH 44707-3625
Phone: (330) 484-2547
Fax: (338) 484-3431
NPI assigned: Apr 4, 2014
Sex: Female
Sole proprietor: Yes

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
014153	OH	MD	Physical Therapist

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physical Therapist	225100000X	014153	OH	Yes

Addresses

Primary practice location

3057 Cleveland Ave SW
Canton, OH 44707-3625

Mailing address

3057 Cleveland Ave SW
Canton, OH 44707-3625
Phone (330) 484-2547

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 4, 2014.

{
    "created_epoch": "1396569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396569600000",
    "number": "1457779688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3057 CLEVELAND AVE SW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447073625",
            "telephone_number": "330-484-2547",
            "fax_number": "338-484-3431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3057 CLEVELAND AVE SW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447073625",
            "telephone_number": "330-484-2547",
            "fax_number": "338-484-3431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSAR",
        "first_name": "JENNIFER",
        "credential": "PT MPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-04",
        "last_updated": "2014-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "014153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

All providers in Canton, OH · Physical Therapist in Ohio

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 4, 2014. 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.

Verify at the official NPI Registry.