Active NPIIndividual provider

Jackson R Smith, DPT

Physical Therapist, Orthopedic in Boston, Massachusetts

NPI Number1114703964
Practice location
133 Brookline Ave, Boston, MA 02215-3904
Fax
—
Last updated
September 7, 2023

Jackson Roskamp Smith is a Physical Therapist, Orthopedic based in Boston, MA. Jackson Roskamp Smith practices in Boston, MA and has the professional credentials of DPT. The NPI Number for Jackson Roskamp Smith is 1114703964. The current practice location address for Jackson Roskamp Smith is 133 Brookline Ave, Boston, MA 02215-3904 and can be reached out via phone at 617-421-1347.

Provider Profile Details

NPI Number
1114703964
Provider Name
Jackson Roskamp Smith
Credential
DPT
Provider Entity Type
Individual
Gender
Male
Address
133 Brookline Ave, Boston, MA 02215-3904
Phone Number
617-421-1347
Primary Taxonomy
Physical Therapist, Orthopedic · 2251X0800X
Sole Proprietor
No
Provider Enumeration Date
September 7, 2023
Last Update Date
September 7, 2023
Certification Date
September 7, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
133 Brookline Ave
Boston, MA 02215-3904
City
Boston
Zip
02215-3904
Phone Number
617-421-1347
Boston, MA 02215Get directions →

Provider Business Mailing Address Details

Address
16 Butterfield Dr
Westborough, MA 01581-3946
City
Westborough
State
MA
Zip
01581-3946
Phone Number
508-494-9146

License Information

License State
MA
Taxonomy
Physical Therapist, Orthopedic · 2251X0800X · Primary

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 Jackson R Smith, DPT?

The NPI number of Jackson R Smith, DPT is 1114703964. It was assigned on September 7, 2023 and is currently active in the NPPES registry.

What is the specialty of Jackson R Smith, DPT?

Jackson R Smith, DPT is registered under the primary taxonomy Physical Therapist, Orthopedic (code 2251X0800X).

Where does Jackson R Smith, DPT practice?

The practice location is 133 Brookline Ave, Boston, MA 02215-3904. The office can be reached at 617-421-1347 (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 1114703964 directly on the NPPES registry website.

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