Individual provider Active NPI

Jarod Esnoz, PT, DPT

  • Physical Therapist
  • Brookline, MA
National Provider Identifier
1912730482
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
27782 Issued in MA
Practice address
235 Cypress St
Brookline, MA 02445-6776
Phone
(617) 860-6430
NPI assigned
Aug 21, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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 27782 MA Primary

Addresses

Primary practice location

235 Cypress St
Brookline, MA 02445-6776

Mailing address

1619 Commonwealth Ave Apt 2
Brighton, MA 02135-4229
Phone (503) 747-8907

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240925002389 MA Practitioner - Physical Therapist in Private Practice 9638610090 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boston Physical Therapy and Wellness, Inc.Group PAC ID 8123345139, 26 clinicians

Practice addresses (Care Compare)

275 Mystic Ave
Medford, MA 02155-6301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27782MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Physical Therapy & Wellness, Inc Physical Therapist CurrentSince Oct 3, 2024 Accepting new patients
Athletic Evolution Physical Therapy, LLC Physical Therapist CurrentSince Jan 10, 2026 Accepting new patients

Locations

275 Mystic Ave
Ste C
Medford, MA 02155
Phone (781) 572-2965

800 W Cummings Park
Ste 1550
Woburn, MA 01801
Phone (781) 935-7701

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": "1724198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1912730482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 COMMONWEALTH AVE APT 2",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021354229",
            "telephone_number": "503-747-8907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 CYPRESS ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024456776",
            "telephone_number": "617-860-6430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESNOZ",
        "first_name": "JAROD",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-21",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "27782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.