Individual provider Active NPI

Jillian Taggett, PT, DPT

  • Physical Therapist
  • Bedford, NH
National Provider Identifier
1932524121
Registry record updated Sep 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4638 Issued in NH
Practice address
30 Harvey Rd
Bedford, NH 03110-6818
Phone
(603) 296-5241
NPI assigned
Feb 24, 2014
Last updated
Sep 29, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 20960 MA
Physical Therapist 225100000X 4638 NH Primary

Addresses

Primary practice location

30 Harvey Rd
Bedford, NH 03110-6818

Mailing address

237 Morrill St
Gilford, NH 03249-6425
Phone (603) 819-8144

Other practice location 1

484 Main St
Worcester, MA 01608-1893
Phone (508) 757-2756

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
20960MAMDPhysical Therapist
4638NHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
New England Pediatric Services LLC CurrentSince Oct 4, 2020 Accepting new patients

Locations

30 Harvey Rd
Bedford, NH 03110
Phone (603) 296-5241

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1393200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1932524121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 MORRILL ST",
            "city": "GILFORD",
            "state": "NH",
            "postal_code": "032496425",
            "telephone_number": "603-819-8144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 HARVEY RD",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106818",
            "telephone_number": "603-296-5241"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "484 Main St",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016081893",
            "country_code": "US",
            "telephone_number": "508-757-2756",
            "fax_number": "508-831-9768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAGGETT",
        "first_name": "JILLIAN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-24",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "20960",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "4638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; 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.