Active NPI
Jennifer Lynn Blake, MSPT
- Physical Therapist
- Marshfield, MA
National Provider Identifier
1982998282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11571
- Practice address
- 506 Plain St
Suite 101
Marshfield, MA 02050-2744 - Phone
- (781) 319-0024
- Fax
- (781) 319-0088
- NPI assigned
- Jun 3, 2011
- 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 | 11571 | MA | Primary |
Addresses
Primary practice location
506 Plain St
Suite 101
Marshfield, MA 02050-2744
Mailing address
506 Plain St
Suite 101
Marshfield, MA 02050-2744
Phone (781) 319-0024
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11571 | MA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Shore Sports & Muscular | Physical Therapist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Orthopedic Physical Therapist
- East Weymouth, MA
- NPI 1104822576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307059200000",
"number": "1982998282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "506 PLAIN ST",
"address_2": "SUITE 101",
"city": "MARSHFIELD",
"state": "MA",
"postal_code": "020502744",
"telephone_number": "781-319-0024",
"fax_number": "781-319-0088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "506 PLAIN ST",
"address_2": "SUITE 101",
"city": "MARSHFIELD",
"state": "MA",
"postal_code": "020502744",
"telephone_number": "781-319-0024",
"fax_number": "781-319-0088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAKE",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-03",
"last_updated": "2011-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "11571",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marshfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.