Niketa K Jayawant
Physical Therapist in Medford, Massachusetts
1265934475- Practice location
- 200 Governors Ave, Medford, MA 02155-1644
- Phone
- 781-391-5400
- Fax
- —
- Last updated
- June 30, 2020
Niketa Kedar Jayawant is a Physical Therapist based in Medford, MA. Niketa Kedar Jayawant practices in Medford, MA. The NPI Number for Niketa Kedar Jayawant is 1265934475 and holds a License No. 23502 (MA). The current practice location address for Niketa Kedar Jayawant is 200 Governors Ave, Medford, MA 02155-1644 and can be reached out via phone at 781-391-5400.
Provider Profile Details
- NPI Number
- 1265934475
- Provider Name
- Niketa Kedar Jayawant
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 200 Governors Ave, Medford, MA 02155-1644
- Phone Number
- 781-391-5400
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 3, 2018
- Last Update Date
- June 30, 2020
- Certification Date
- June 30, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 200 Governors Ave
Medford, MA 02155-1644 - City
- Medford
- State
- Massachusetts
- Zip
- 02155-1644
- Phone Number
- 781-391-5400
Provider Business Mailing Address Details
- Address
- 1760 Revere Beach Pkwy Apt 518
Everett, MA 02149-5969 - City
- Everett
- State
- MA
- Zip
- 02149-5969
License Information
- License Number
- 23502
- 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 Niketa K Jayawant?
The NPI number of Niketa K Jayawant is 1265934475. It was assigned on March 3, 2018 and is currently active in the NPPES registry.
What is the specialty of Niketa K Jayawant?
Niketa K Jayawant is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in MA under license number 23502.
Where does Niketa K Jayawant practice?
The practice location is 200 Governors Ave, Medford, MA 02155-1644. The office can be reached at 781-391-5400 (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 1265934475 directly on the NPPES registry website.