Individual provider Active NPI

Jessica Jamieson, PTA

  • Physical Therapy Assistant
  • Wakefield, MA
National Provider Identifier
1750008413
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
9111 Issued in MA
Practice address
3 Jessica LN
Wakefield, MA 01880-1252
Phone
(617) 851-5315
Fax
(781) 262-3337
NPI assigned
Oct 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 9111 MA Primary

Addresses

Primary practice location

3 Jessica LN
Wakefield, MA 01880-1252

Mailing address

926 Main St
Nashville, TN 37206-3614
Phone (615) 436-9060

Other identifiers 1

IdentifierTypeStateIssuer
9111MedicaidMA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jessica.tries@carebridgehealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9111MAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hae/PT, LLC PastSince Jul 21, 2020 Accepting new patients

Organizations & group practices 1

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": "1666569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1750008413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 MAIN ST",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372063614",
            "telephone_number": "615-436-9060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 JESSICA LN",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018801252",
            "telephone_number": "617-851-5315",
            "fax_number": "781-262-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMIESON",
        "first_name": "JESSICA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-24",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MA",
            "license": "9111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9111",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jessica.tries@carebridgehealth.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "926 Main St",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372063614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wakefield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; 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.