Individual provider Active NPI

Jane Pardo, DPT

  • Physical Therapist
  • Dorchester, MA
National Provider Identifier
1689262354
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
25130 Issued in MA
Practice address
540 Gallivan Blvd Ste 2
Dorchester, MA 02124-5463
Phone
(617) 282-8080
Fax
(617) 282-9988
NPI assigned
Jan 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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 25130 MA Primary

Addresses

Primary practice location

540 Gallivan Blvd Ste 2
Dorchester, MA 02124-5463

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other practice location 1

475 Adams St
Milton, MA 02186-4943
Phone (617) 506-7210

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210114002856 MA Practitioner - Physical Therapist in Private Practice 9133532955 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1092 Lexington St
Waltham, MA 02452-7206
Phone (781) 906-8442

Merit-based Incentive Payment System (MIPS)

Final score
85.19 of 100Reported as group
Quality
86.04
Improvement activities
40
Cost
76.23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25130MAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Rehabilitation of Western New England LLC Physical Therapist Current Accepting new patients
Elliott Physical Therapy, Inc. Physical Therapist CurrentSince Oct 9, 2020 Accepting new patients
Bay State Physical Therapy of Randolph Inc Physical Therapist CurrentSince May 10, 2021 Accepting new patients
Performance Rehabilitation of Western New England LLC Physical Therapist CurrentSince Jul 18, 2022 Accepting new patients
Bay State Physical Therapy of Randolph Inc Physical Therapist CurrentSince May 10, 2021 Accepting new patients
Performance Rehabilitation of Western New England LLC Physical Therapist CurrentSince Jul 18, 2022 Accepting new patients
Bay State Physical Therapy of Randolph Inc Physical Therapist PastSince Jun 22, 2021 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

33377 Collection Ctr Dr
Chicago, IL 60693
Phone (617) 284-9418

101 University Dr
Ste A6
Amherst, MA 01002
Phone (413) 336-5703

284 Trapelo Rd
Belmont, MA 02478
Phone (857) 626-3284

85 Franklin St
Boston, MA 02110
Phone (857) 284-4399

197 Massachusetts Ave
Boston, MA 02115
Phone (617) 399-7330

703 Granite St
Ste 300
Braintree, MA 02184
Phone (603) 626-4205

703 Granite St
Fl 3
Braintree, MA 02184

1 Pearl St
Ste 1700
Brockton, MA 02301
Phone (508) 427-0525

540 Gallivan Blvd
Ste 1
Dorchester, MA 02124
Phone (617) 282-8080

540 Gallivan Blvd
Ste 2
Dorchester, MA 02124
Phone (617) 282-8080

960 William T Morrissey Blvd
Dorchester, MA 02122
Phone (617) 506-7210

57 Bedford St
Ste 202
Lexington, MA 02420
Phone (781) 541-5111

475 Adams St
Milton, MA 02186
Phone (617) 364-4380

1343 Providence Hwy
Norwood, MA 02062
Phone (781) 702-1339

1054 County St
Somerset, MA 02726
Phone (508) 674-3340

1092 Lexington St
Waltham, MA 02452
Phone (781) 906-8442

Organizations & group practices 7

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": "1609977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1689262354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 GALLIVAN BLVD STE 2",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021245463",
            "telephone_number": "617-282-8080",
            "fax_number": "617-282-9988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "475 Adams St",
            "address_purpose": "LOCATION",
            "city": "Milton",
            "state": "MA",
            "postal_code": "021864943",
            "country_code": "US",
            "telephone_number": "617-506-7210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARDO",
        "first_name": "JANE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-07",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "25130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dorchester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.