Active NPIIndividual providerSole proprietor

Dr. Jared Wydysh, DPT

Physical Therapist in Tewksbury, Massachusetts

NPI Number1043690589
Practice location
2580 Main St, Tewksbury, MA 01876-3155
Fax
—
Last updated
January 18, 2017

Jared Wydysh is a Physical Therapist based in Tewksbury, MA. Jared Wydysh practices in Tewksbury, MA and has the professional credentials of DPT. The NPI Number for Jared Wydysh is 1043690589 and holds a License No. 22778 (MA). The current practice location address for Jared Wydysh is 2580 Main St, Tewksbury, MA 01876-3155 and can be reached out via phone at 315-749-8037.

Provider Profile Details

NPI Number
1043690589
Provider Name
Jared Wydysh
Credential
DPT
Provider Entity Type
Individual
Gender
Male
Address
2580 Main St, Tewksbury, MA 01876-3155
Phone Number
315-749-8037
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
Yes
Provider Enumeration Date
May 30, 2015
Last Update Date
January 18, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
2580 Main St
Tewksbury, MA 01876-3155
Zip
01876-3155
Phone Number
315-749-8037
Tewksbury, MA 01876Get directions →

Provider Business Mailing Address Details

Address
155 Eastern Ave Apt 101
Manchester, NH 03104-4642
City
Manchester
State
NH
Zip
03104-4642
Phone Number
315-749-8037

License Information

License Number (1)
22778
License State (1)
MA
Taxonomy (1)
Physical Therapist · 225100000X · Primary
License Number (2)
037923
License State (2)
NY
Taxonomy (2)
Physical Therapist · 225100000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Jared Wydysh, DPT?

The NPI number of Dr. Jared Wydysh, DPT is 1043690589. It was assigned on May 30, 2015 and is currently active in the NPPES registry.

What is the specialty of Dr. Jared Wydysh, DPT?

Dr. Jared Wydysh, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in MA under license number 22778.

Where does Dr. Jared Wydysh, DPT practice?

The practice location is 2580 Main St, Tewksbury, MA 01876-3155. The office can be reached at 315-749-8037 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043690589 directly on the NPPES registry website.

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