MEDICARE: JENNIFER MASSAR PT MPT

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
1	225100000X	Physical Therapist	014153	OH

General Provider Information

NPI Number	:	1457779688
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER MASSAR PT MPT

Provider Business Mailing Address
First Line	:	3057 CLEVELAND AVE SW
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44707-3625
Country	:	US
Telephone Number	:	330-484-2547
Fax Number	:	338-484-3431

Provider Business Practice Location Address
First Line	:	3057 CLEVELAND AVE SW
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44707-3625
Country	:	US
Telephone Number	:	330-484-2547
Fax Number	:	338-484-3431

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/04/2014
Last Update Date	:	04/04/2014

Similar Medicare Providers

1174831218 — CANTON PHYSICAL MEDICARE, LLC
Practice Location Address:

2050 CUMMING HWY , SUITE 100
CANTON, GA
30114-8614

Practice Phone: 770-345-9600
Practice Fax:

1902895261 — MR. JERRY CURTIS BAILEY R.PH
Practice Location Address:

3013 CLEVELAND AVE SW
CANTON, OH
44707-3625

Practice Phone: 330-484-9310
Practice Fax: 330-484-9318

1659558955 — NATHANIEL J LEGGETT OD INC
Practice Location Address:

3017A CLEVELAND AVE SW
CANTON, OH
44707-3625

Practice Phone: 330-484-2569
Practice Fax: 330-484-2263

1770900482 — SHELLEY ARMSTRONG
Practice Location Address:

3057 CLEVELAND AVE SW
CANTON, OH
44707-3625

Practice Phone: 330-484-2547
Practice Fax:

1801213517 — JANICE LYNN GIFFIN
Practice Location Address:

3057 CLEVELAND AVE SW
CANTON, OH
44707-3625

Practice Phone: 740-484-9626
Practice Fax:

1548689706 — MRS. KIMBERLY SUE LUCKRING MA CCC/SLP
Practice Location Address:

3057 CLEVELAND AVE SW
CANTON, OH
44707-3625

Practice Phone: 330-484-2547
Practice Fax:

Directions to “ JENNIFER MASSAR PT MPT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.