Jared Ivankovic-Macgibbon
Physical Therapist in Dedham, Massachusetts
1154043784- Practice location
- 391 Common St, Dedham, MA 02026-4055
- Phone
- 877-407-3422
- Fax
- 877-407-4329
- Last updated
- September 12, 2022
Jared Ivankovic-Macgibbon is a Physical Therapist based in Dedham, MA. Jared Ivankovic-Macgibbon practices in Dedham, MA. The NPI Number for Jared Ivankovic-Macgibbon is 1154043784 and holds a License No. 26304 (MA). The current practice location address for Jared Ivankovic-Macgibbon is 391 Common St, Dedham, MA 02026-4055 and can be reached out via phone at 877-407-3422 and via fax at 877-407-4329.
Provider Profile Details
- NPI Number
- 1154043784
- Provider Name
- Jared Ivankovic-Macgibbon
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 391 Common St, Dedham, MA 02026-4055
- Phone Number
- 877-407-3422
- Fax Number
- 877-407-4329
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 12, 2022
- Last Update Date
- September 12, 2022
- Certification Date
- September 12, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 391 Common St
Dedham, MA 02026-4055 - City
- Dedham
- State
- Massachusetts
- Zip
- 02026-4055
- Phone Number
- 877-407-3422
- Fax Number
- 877-407-4329
Provider Business Mailing Address Details
- Address
- 7 Carnegie Plz
Cherry Hill, NJ 08003-1000 - City
- Cherry Hill
- State
- NJ
- Zip
- 08003-1000
- Phone Number
- 877-407-3422
- Fax Number
- 877-407-4329
License Information
- License Number
- 26304
- License State
- MA
- Taxonomy
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Jared Ivankovic-Macgibbon?
The NPI number of Jared Ivankovic-Macgibbon is 1154043784. It was assigned on September 12, 2022 and is currently active in the NPPES registry.
What is the specialty of Jared Ivankovic-Macgibbon?
Jared Ivankovic-Macgibbon is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in MA under license number 26304.
Where does Jared Ivankovic-Macgibbon practice?
The practice location is 391 Common St, Dedham, MA 02026-4055. The office can be reached at 877-407-3422 (phone) or 877-407-4329 (fax).
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 1154043784 directly on the NPPES registry website.