Jerome Mackesy, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

8665 Issued in MA

Practice address

402A Blue Hill Ave
Dorchester, MA 02121-4315

Phone

(617) 645-3766

NPI assigned

Nov 25, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Comeback Physical Therapy, Inc.

  • Physical Therapist
  • Dorchester, MA
  • NPI 1013295054
  Medicare reassignment NPD
• Health & Sports Rehab, Inc.

  • Physical Therapy Assistant
  • Dorchester, MA
  • NPI 1861434250

  Physical Therapist

  Medicare reassignment NPD
• Lowell Physical Therapy 1

  • Physical Therapy Clinic/Center
  • Lowell, MA
  • NPI 1710600093
  NPD Authorized official

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

{
    "created_epoch": "1227571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1982859443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 500",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030530500",
            "telephone_number": "617-645-3766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402A BLUE HILL AVE",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021214315",
            "telephone_number": "617-645-3766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKESY",
        "first_name": "JEROME",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-25",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "8665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0716669",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brendan Lynch
• Roy Lynch
• Diane Macdonald, LPN
• Kirstie Macewen, MSW
• Elizabeth Macgrory-Dube
• Lyndsay Macneil
• Sara Macpherson, RN
• Kelly S Macquade, LICSW
• Madeline Family Day Care
• Arthur Edward Madore, LMT

• Physical Therapist in Dorchester, MA
• Providers in Dorchester, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; 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.