Individual provider Active NPI

Jennifer Gallagher, MSPT

  • Physical Therapist
  • North Easton, MA
National Provider Identifier
1508912627
Registry record updated Feb 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10346 Issued in MA
Practice address
105 Washington St
Suite 10
North Easton, MA 02356-1100
Phone
(508) 238-5600
Fax
(508) 238-5600
NPI assigned
Jan 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2009

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 10346 MA Primary

Addresses

Primary practice location

105 Washington St
Suite 10
North Easton, MA 02356-1100

Mailing address

27 Meetinghouse LN
South Easton, MA 02375-1002
Phone (508) 297-1696

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070724000307 MA Practitioner - Physical Therapist in Private Practice 2961503768 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mansfield Physical Therapy and Wellness LLCGroup PAC ID 4082976832, 8 clinicians

Practice addresses (Care Compare)

200 Chauncy St
Suite 104
Mansfield, MA 02048-1200
Phone (508) 339-7999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10346MAMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Mansfield Physical Therapy & Wellness LLC Physical Therapist CurrentSince Jun 20, 2022 Accepting new patients

Locations

200 Chauncy St
Ste 104
Mansfield, MA 02048
Phone (508) 339-7999

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": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234742400000",
    "number": "1508912627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 MEETINGHOUSE LN",
            "city": "SOUTH EASTON",
            "state": "MA",
            "postal_code": "023751002",
            "telephone_number": "508-297-1696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 WASHINGTON ST",
            "address_2": "SUITE 10",
            "city": "NORTH EASTON",
            "state": "MA",
            "postal_code": "023561100",
            "telephone_number": "508-238-5600",
            "fax_number": "508-238-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "JENNIFER",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2009-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "10346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Easton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2009; 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.