Individual provider Active NPI

Jennifer L Cairney, DPT

  • Orthopedic Physical Therapist
  • Wakefield, MA
National Provider Identifier
1497076590
Registry record updated Aug 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
19074 Issued in MA
Practice address
3 Jessica LN
Wakefield, MA 01880-1252
Phone
(781) 527-4791
Fax
(812) 623-3377
NPI assigned
Jun 13, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 19074 MA Primary

Addresses

Primary practice location

3 Jessica LN
Wakefield, MA 01880-1252

Mailing address

3 Jessica LN
Wakefield, MA 01880-1252
Phone (781) 527-4791

Other names 1

  • Jennifer L Smith Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100908000212 MA Practitioner - Physical Therapist in Private Practice 0547384901 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hae/PT, LLC 20 clinicians

Practice addresses (Care Compare)

Wakefield, MA 01880
Phone (617) 851-5315

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19074MAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hae/PT, LLC CurrentSince Jul 19, 2022 Accepting new patients
J.B. Rehabilitation Associates, Inc Orthopedic CurrentSince Jul 6, 2010 Accepting new patients
J B Rehabilitation Associates, Inc. Past Accepting new patients

Locations

104 Quarry St
Fl 1
Quincy, MA 02169
Phone (617) 770-4167

104 Quarry St
Quincy, MA 02169
Phone (617) 770-4167

Organizations & group practices 3

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": "1276387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659312000000",
    "number": "1497076590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 JESSICA LN",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018801252",
            "telephone_number": "781-527-4791",
            "fax_number": "812-623-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 JESSICA LN",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018801252",
            "telephone_number": "781-527-4791",
            "fax_number": "812-623-3377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAIRNEY",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-13",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MA",
            "license": "19074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "SMITH",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wakefield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.