Jamie L Bannon, DPT
Physical Therapist, Pediatrics in Boston, Massachusetts
1285426502- Practice location
- 361 Newbury St, Boston, MA 02115-2727
- Phone
- 617-302-6244
- Fax
- —
- Last updated
- May 21, 2025
Jamie Lyn Bannon is a Physical Therapist, Pediatrics based in Boston, MA. Jamie Lyn Bannon practices in Boston, MA and has the professional credentials of DPT. The NPI Number for Jamie Lyn Bannon is 1285426502 and holds a License No. 16534 (MA). The current practice location address for Jamie Lyn Bannon is 361 Newbury St, Boston, MA 02115-2727 and can be reached out via phone at 617-302-6244.
Provider Profile Details
- NPI Number
- 1285426502
- Provider Name
- Jamie Lyn Bannon
- Credential
- DPT
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 361 Newbury St, Boston, MA 02115-2727
- Phone Number
- 617-302-6244
- Primary Taxonomy
- Physical Therapist, Pediatrics · 2251P0200X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 21, 2025
- Last Update Date
- May 21, 2025
- Certification Date
- May 18, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 361 Newbury St
Boston, MA 02115-2727 - City
- Boston
- State
- Massachusetts
- Zip
- 02115-2727
- Phone Number
- 617-302-6244
Provider Business Mailing Address Details
- Address
- 54 Lucia Dr
Pittsfield, MA 01201-8330 - City
- Pittsfield
- State
- MA
- Zip
- 01201-8330
- Phone Number
- 413-281-7848
License Information
- License Number
- 16534
- License State
- MA
- Taxonomy
- Physical Therapist, Pediatrics · 2251P0200X · 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 Jamie L Bannon, DPT?
The NPI number of Jamie L Bannon, DPT is 1285426502. It was assigned on May 21, 2025 and is currently active in the NPPES registry.
What is the specialty of Jamie L Bannon, DPT?
Jamie L Bannon, DPT is registered under the primary taxonomy Physical Therapist, Pediatrics (code 2251P0200X), licensed in MA under license number 16534.
Where does Jamie L Bannon, DPT practice?
The practice location is 361 Newbury St, Boston, MA 02115-2727. The office can be reached at 617-302-6244 (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 1285426502 directly on the NPPES registry website.