Active NPI
Jonathan Joyce, D.P.T.
- Physical Therapist
- Plymouth, MA
National Provider Identifier
1821484890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 21579
- Practice address
- 65 Long Pond Rd
Plymouth, MA 02360-2670 - Phone
- (774) 773-9070
- Fax
- (508) 591-7619
- NPI assigned
- Apr 7, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 21579 | MA | Primary |
Addresses
Primary practice location
65 Long Pond Rd
Plymouth, MA 02360-2670
Mailing address
65 Long Pond Rd
Plymouth, MA 02360-2670
Phone (774) 773-9070
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150505002031 | MA | Practitioner - Physical Therapist in Private Practice | 6800115304 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21579 | MA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atrius Health, Inc. | Physical Therapist | Current | Accepting new patients |
| Atrius Health, Inc. | Physical Therapist | Current | Accepting new patients |
Locations
133 Brookline Ave
Boston, MA 02215
Phone (617) 421-1000
Organizations & group practices 2
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": "1428364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580774400000",
"number": "1821484890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 LONG POND RD",
"city": "PLYMOUTH",
"state": "MA",
"postal_code": "023602670",
"telephone_number": "774-773-9070",
"fax_number": "508-591-7619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 LONG POND RD",
"city": "PLYMOUTH",
"state": "MA",
"postal_code": "023602670",
"telephone_number": "774-773-9070",
"fax_number": "508-591-7619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOYCE",
"first_name": "JONATHAN",
"credential": "D.P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-07",
"last_updated": "2020-02-04",
"certification_date": "2020-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "21579",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plymouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2020; 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.