Individual provider Active NPI

Jess J Barsotti, DPT

  • Physical Therapist
  • Woburn, MA
National Provider Identifier
1710134846
Registry record updated Aug 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
18374 Issued in MA
Practice address
1 Arrow Dr
Suite 2
Woburn, MA 01801-2039
Phone
(781) 935-2655
Fax
(781) 935-9097
NPI assigned
Aug 20, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2008

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 18374 MA Primary

Addresses

Primary practice location

1 Arrow Dr
Suite 2
Woburn, MA 01801-2039

Mailing address

1 Arrow Dr
Suite 2
Woburn, MA 01801-2039
Phone (781) 935-2655

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191002001462 NJ Practitioner - Physical Therapist in Private Practice 6204994478 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brigantine Physical Therapy and Fitness LLCGroup PAC ID 3274810155, 4 clinicians

Practice addresses (Care Compare)

3103 W Brigantine Ave
Brigantine, NJ 08203-1655
Phone (609) 264-5403

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18374MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist Current Accepting new patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist CurrentSince Aug 11, 2019 Accepting new patients
Brigantine Physical Therapy and Fitness LLC Physical Therapist CurrentSince Aug 19, 2024 Accepting new patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist CurrentSince Aug 11, 2019 Accepting new patients
Jag-One Physical Therapy, LLC Physical Therapist CurrentSince May 23, 2022 Accepting new patients

Locations

981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511

3103 W Brigantine Ave
Brigantine, NJ 08203
Phone (609) 264-5403

1 Greenwood Ave
Montclair, NJ 07042
Phone (973) 746-2424

45 Franklin Ave
Nutley, NJ 07110
Phone (973) 235-0500

701 West Ave
Ste 201
Ocean City, NJ 08226
Phone (609) 399-3344

254 Texas Rd
Old Bridge, NJ 08857
Phone (732) 359-2691

221 Rockingham Row
Princeton, NJ 08540
Phone (609) 580-1520

524 Williamstown Rd
Ste B1
Sicklerville, NJ 08081
Phone (856) 516-0591

524 Williamstown Rd
Sicklerville, NJ 08081
Phone (856) 262-9564

622 Eagle Rock Ave
West Orange, NJ 07052
Phone (973) 669-0078

576 Broadhollow Rd
Melville, NY 11747

Organizations & group practices 5

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": "1219190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219190400000",
    "number": "1710134846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ARROW DR",
            "address_2": "SUITE 2",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018012039",
            "telephone_number": "781-935-2655",
            "fax_number": "781-935-9097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ARROW DR",
            "address_2": "SUITE 2",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018012039",
            "telephone_number": "781-935-2655",
            "fax_number": "781-935-9097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARSOTTI",
        "first_name": "JESS",
        "middle_name": "J",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-20",
        "last_updated": "2008-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "18374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woburn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; 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.