Jacob Bedard, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

25070 Issued in MA

Practice address

23 Ware St FL 3
West Brookfield, MA 01585-3137

Phone

(508) 867-0180

Fax

(508) 867-0182

NPI assigned

Nov 18, 2020

Last updated

Nov 18, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DG Physical Therapy PCGroup PAC ID 0143503680, 42 clinicians

Bay State Physical Therapy of Randolph IncGroup PAC ID 6305744251, 451 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• DG Physical Therapy PC

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Chelmsford, MA
  • NPI 1295279198

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Bay State Physical Therapy of Randolph Inc

  dba Bay State Physical Therapy

  • Physical Therapist
  • Fall River, MA
  • NPI 1164474334
  Medicare reassignment Care Compare group
• Bay State Physical Therapy of Randolph Inc

  dba Bay State Physical Therapy

  • Physical Therapist
  • Brockton, MA
  • NPI 1740390459
  NPD
• Bay State Physical Therapy of Randolph Inc

  dba Bay State Physical Therapy

  • Physical Therapist
  • Franklin, MA
  • NPI 1821108549
  NPD
• DG Physical Therapy, P.C.

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Hyannis, MA
  • NPI 1497308795
  NPD
• DG Physical Therapy, P.C.

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • North Grafton, MA
  • NPI 1881270544
  NPD

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1508469966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 GRANITE ST STE 3",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021845350",
            "telephone_number": "781-961-3370",
            "fax_number": "781-961-1291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 WARE ST FL 3",
            "city": "WEST BROOKFIELD",
            "state": "MA",
            "postal_code": "015853137",
            "telephone_number": "508-867-0180",
            "fax_number": "508-867-0182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDARD",
        "first_name": "JACOB",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-18",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "25070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Patricia Arsenault, NP
• Ascentria Care Alliance, Inc.
• Christian Bauchard, LMHC
• Anne Blake, LMHC, LADC
• Shirley Anne Blanchard, COTA/L
• Meagan Blodgett, MS, OTR/L
• Kaitlyn Bonneau, MS
• Brookhaven Assisted Living LLC

• Physical Therapist in West Brookfield, MA
• Providers in West Brookfield, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; 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.