Individual provider Active NPI

David Christopher Jardin, DPT, MOTR/L, MTC

  • Physical Therapist
  • West Bridgewater, MA
National Provider Identifier
1548211451
Registry record updated Feb 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
22 Pleasant St Ste 3a
West Bridgewater, MA 02379-1506
Phone
(508) 857-0389
Fax
(508) 857-2261
NPI assigned
May 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X
Physical Therapist 225100000X Primary

Addresses

Primary practice location

22 Pleasant St Ste 3a
West Bridgewater, MA 02379-1506

Mailing address

52 Willow St
Stoughton, MA 02072-1027
Phone (781) 363-6462

Other identifiers 4

IdentifierTypeStateIssuer
000000037353MedicaidMA
0324949MedicaidMA
Y68204OtherMABCBS
OT69884OtherMABCBS (OT)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070223000017 MA Practitioner - Occupational Therapist in Private Practice 1658388723 Reassigns benefits to 1 organization
I20070223000032 MA Practitioner - Physical Therapist in Private Practice 1658388723 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

22 Pleasant St
West Bridgewater, MA 02379-1506
Phone (508) 857-0389

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
A Plus Chiropractic Management Inc CurrentSince Jul 9, 2018 Accepting new patients
Advanced Orthopedic Rehabilitation Specialists Physical Therapist CurrentSince Sep 20, 2018 Accepting new patients

Locations

22 Pleasant St
Ste 3A
West Bridgewater, MA 02379
Phone (508) 857-0389

2360 Cranberry Hwy
West Wareham, MA 02576
Phone (508) 273-0190

Organizations & group practices 2

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": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549324800000",
    "number": "1548211451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 WILLOW ST",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020721027",
            "telephone_number": "781-363-6462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 PLEASANT ST STE 3A",
            "city": "WEST BRIDGEWATER",
            "state": "MA",
            "postal_code": "023791506",
            "telephone_number": "508-857-0389",
            "fax_number": "508-857-2261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARDIN",
        "first_name": "DAVID",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "DPT, MOTR/L, MTC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2019-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000000037353",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0324949",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y68204",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS (OT)",
            "identifier": "OT69884",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bridgewater, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; 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.