Jessica Ahonen
Individual provider Active NPI Physical Therapist · Quincy, MA
NPI 1669760153 · NPPES record last updated Feb 6, 2017
Key facts
- NPI
- 1669760153
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 22288 (MA)
- Practice address
- 500 Victory Rd
Quincy, MA 02171-3139 - Phone
- (617) 847-1926
- NPI assigned
- Jul 18, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22288 | MA | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 22288 | MA | Yes |
Addresses
Primary practice location
500 Victory Rd
Quincy, MA 02171-3139
Mailing address
500 Victory Rd
Quincy, MA 02171-3139
Phone (617) 847-1926
Other providers in Quincy, MA
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- Tasfia Ahmed
- Simran Ailawadhi
- Nyah Airey
- Fatima Ait Fares
- Victoria Ajayi
- Faith T Ajiboye
All providers in Quincy, MA · Physical Therapist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 6, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.