JESSICA LYNN DOUGLAS (MSPT) – Physical Therapist, NPI 1205814076
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,873 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MA
Provider Addresses for JESSICA LYNN DOUGLAS (MSPT)
4 WATER ST
BOSTON, MA 021093503
Phone: (857) 277-0923
Fax: (844) 912-8606
Type: Location
Shore Avenue, Merrymount, Quincy, Norfolk County, Massachusetts, 02170, United States
QUINCY, MA 021692439
Phone: (617) 571-5564
Type: Mailing
Beacon Street, Beacon Hill, Boston, Suffolk County, Massachusetts, 02116, United States
2ND FLOOR
BOSTON, MA 022152099
Phone: (617) 536-1161
Fax: (617) 536-1165
Type: Location
4 RICHMOND SQ
PROVIDENCE, RI 029065117
Phone: (401) 433-4172
Fax: (401) 433-0612
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-11-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041116000613 | I | Physical Therapist In Private Practice | MA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 02109)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MA | |
| - | FL | |
| - | MA | |
| - | MA | |
| Physical Therapist In Private Practice | MA | |
| - | MA | |
| Physical Therapist In Private Practice | MA | |
| - | MA | |
| - | MA | |
| Physical Therapist In Private Practice | VA |
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