Active NPIIndividual provider

Jessica R Richard, MS, PT

Physical Therapist in Revere, Massachusetts

NPI Number1942361407
Practice location
76 Shirley Ave, Revere, MA 02151-5102
Fax
—
Last updated
August 30, 2021

Jessica Rothwell Richard is a Physical Therapist based in Revere, MA. Jessica Rothwell Richard practices in Revere, MA and has the professional credentials of MS, PT. The NPI Number for Jessica Rothwell Richard is 1942361407 and holds a License No. 11496 (MA). The current practice location address for Jessica Rothwell Richard is 76 Shirley Ave, Revere, MA 02151-5102 and can be reached out via phone at 781-284-8277.

Provider Profile Details

NPI Number
1942361407
Provider Name
Jessica Rothwell Richard
Credential
MS, PT
Provider Entity Type
Individual
Gender
Female
Address
76 Shirley Ave, Revere, MA 02151-5102
Phone Number
781-284-8277
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Other Names
Jessica Rothwell Harriman (Former Name)
Provider Enumeration Date
December 12, 2006
Last Update Date
August 30, 2021
Certification Date
August 30, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
76 Shirley Ave
Revere, MA 02151-5102
City
Revere
Zip
02151-5102
Phone Number
781-284-8277
Revere, MA 02151Get directions →

Provider Business Mailing Address Details

Address
39 Shore Ave
Quincy, MA 02169-2441
City
Quincy
State
MA
Zip
02169-2441

License Information

License Number
11496
License State
MA
Taxonomy
Physical Therapist · 225100000X · 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 Jessica R Richard, MS, PT?

The NPI number of Jessica R Richard, MS, PT is 1942361407. It was assigned on December 12, 2006 and is currently active in the NPPES registry.

What is the specialty of Jessica R Richard, MS, PT?

Jessica R Richard, MS, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in MA under license number 11496.

Where does Jessica R Richard, MS, PT practice?

The practice location is 76 Shirley Ave, Revere, MA 02151-5102. The office can be reached at 781-284-8277 (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 1942361407 directly on the NPPES registry website.

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