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NPI Code Detail

MEDICARE: JESSICA T. AINSLEY DPT

MEDICARE: JESSICA T. AINSLEY DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12251X0800XOrthopedic Physical TherapistPT61192981WA
2225100000XPhysical Therapist23086MA
3225100000XPhysical TherapistPT61192981WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1942725189
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA T. AINSLEY DPT
Provider Business Mailing Address
First Line : 64 EMERALD ST
Second Line :
City : QUINCY
State : MA
Zip : 02169-1004
Country : US
Telephone Number : 781-974-6848
Fax Number :
Provider Business Practice Location Address
First Line : 31 W GROVE ST
Second Line :
City : MIDDLEBORO
State : MA
Zip : 02346-1859
Country : US
Telephone Number : 774-773-9070
Fax Number : 508-591-7619
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2017
Last Update Date : 01/30/2026

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