Jill Marie Blethen, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

16060 Issued in MA

Practice address

50 W Main St
Hopkinton, MA 01748-1672

Phone

(508) 344-2452

NPI assigned

Aug 30, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jill Souza Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Active Life Rehab, Inc.

  • Geriatric Physical Therapist
  • Escondido, CA
  • NPI 1346295805
  NPD (past)

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

{
    "created_epoch": "1283126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574553600000",
    "number": "1699081521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 OLD BRIDGE LN",
            "city": "BELLINGHAM",
            "state": "MA",
            "postal_code": "020193159",
            "telephone_number": "508-344-2452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 W MAIN ST",
            "city": "HOPKINTON",
            "state": "MA",
            "postal_code": "017481672",
            "telephone_number": "508-344-2452"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2111 S El Camino Real",
            "address_2": "STE 200",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "920549000",
            "country_code": "US",
            "telephone_number": "760-729-5433",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "402 Old Bridge Ln",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "MA",
            "postal_code": "020193159",
            "country_code": "US",
            "telephone_number": "508-344-2452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLETHEN",
        "first_name": "JILL",
        "middle_name": "MARIE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-30",
        "last_updated": "2019-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT30391",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "16060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "SOUZA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gina Maria Belsito, D.M.D.
• Robin Lynn Bertuglia, PH.D.
• Birchwood Nutrition Group Inc.
• Dylan Hewins Blackwell, PTA
• Emily Katherine Blake
• Stephanie M. Bodor, MD
• Body N' Beyond, Inc.
• Danielle R Bond, DDS
• Christine Michelle Bonneau, PMHNP
• Corey Brunner, D.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.