Jennifer Jaen Berry, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11009 Issued in MA

Practice address

101 Pleasant St
Worcester, MA 01609-3213

Phone

(508) 798-2225

NPI assigned

Mar 5, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Jennifer Horlanda Jaen Former name

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Comeback Physical Therapy, Inc.

  • Physical Therapist
  • Dorchester, MA
  • NPI 1013295054
  Medicare reassignment NPD
• Medical Center of Greater Mattapan

  • Physical Therapist
  • Mattapan, MA
  • NPI 1144425059
  NPD (past)
• Physical Therapy of Greater Mattapan PC

  • Physical Therapy Clinic/Center
  • Mattapan, MA
  • NPI 1730496696
  NPD (past)
• Physical Therapy of Mattapan Square, LLC

  • Physical Therapy Clinic/Center
  • Mattapan, MA
  • NPI 1447609938
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1689703720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 NEPONSET AVE",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021223168",
            "telephone_number": "774-218-5585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PLEASANT ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016093213",
            "telephone_number": "508-798-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "JENNIFER",
        "middle_name": "JAEN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "11009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0396753",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "JAEN",
            "middle_name": "HORLANDA",
            "prefix": "MS.",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Berry Tree Counseling LLC
• Teenea Berry-Walters
• Alexa Berry, LMHC
• Andrea J Berry
• Jazmyne Berry
• Molly Kleven Berry, LICSW
• Nicholas Berry
• Tykimmy Berry
• Zoey Ann Bert, MD
• Brittany Bertaux, DO

• Physical Therapist in Worcester, MA
• Providers in Worcester, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.