Active NPI
Jessica Lynn Thomas, PT
- Physical Therapist
- Malden, MA
National Provider Identifier
1841425634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 18645
- Practice address
- 405 Pearl St
Malden, MA 02148-6644 - Phone
- (781) 321-8785
- NPI assigned
- May 21, 2009
- Sex
- Female
- 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 | 18645 | MA | Primary |
Addresses
Primary practice location
405 Pearl St
Malden, MA 02148-6644
Mailing address
405 Pearl St
PT Unit Suite 2
Malden, MA 02148-6644
Phone (781) 321-8785
Other practice location 1
602 Broadway
PT unit
Everett, MA 02149-3743
Phone (617) 389-7211
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548720000000",
"number": "1841425634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 PEARL ST",
"address_2": "PT UNIT SUITE 2",
"city": "MALDEN",
"state": "MA",
"postal_code": "021486644",
"telephone_number": "781-321-8785",
"fax_number": "781-321-8063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 PEARL ST",
"city": "MALDEN",
"state": "MA",
"postal_code": "021486644",
"telephone_number": "781-321-8785"
}
],
"practiceLocations": [
{
"address_1": "602 Broadway",
"address_2": "PT unit",
"address_purpose": "LOCATION",
"city": "Everett",
"state": "MA",
"postal_code": "021493743",
"country_code": "US",
"telephone_number": "617-389-7211",
"fax_number": "617-389-7225",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMAS",
"first_name": "JESSICA",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-21",
"last_updated": "2019-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "18645",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Malden, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.