Active NPI
Jennifer Lynn Maddy, DPT
- Physical Therapist
- Braintree, MA
National Provider Identifier
1649589912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 19198
- Practice address
- 95 Commercial St
Braintree, MA 02184-4301 - Phone
- (781) 848-3678
- NPI assigned
- Oct 4, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 19198 | MA | Primary |
Addresses
Primary practice location
95 Commercial St
Braintree, MA 02184-4301
Mailing address
184 Woodhaven Rd
Woonsocket, RI 02895-2731
Phone (401) 338-5330
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19198 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595894400000",
"number": "1649589912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "184 WOODHAVEN RD",
"city": "WOONSOCKET",
"state": "RI",
"postal_code": "028952731",
"telephone_number": "401-338-5330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 COMMERCIAL ST",
"city": "BRAINTREE",
"state": "MA",
"postal_code": "021844301",
"telephone_number": "781-848-3678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADDY",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-04",
"last_updated": "2020-07-28",
"certification_date": "2020-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "19198",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Braintree, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.