Healthcare Provider Details

I. General information

NPI: 1144145772
Provider Name (Legal Business Name): JENNIFER NG DPT
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 COTTAGE ST
PEPPERELL MA
01463-1583
US

IV. Provider business mailing address

6 COTTAGE ST
PEPPERELL MA
01463-1583
US

V. Phone/Fax

Practice location:
  • Phone: 978-433-0046
  • Fax: 978-433-0047
Mailing address:
  • Phone: 978-433-0046
  • Fax: 978-433-0047

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPTL89748
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: