JACOB BEDARD (DPT) – Physical Therapist, NPI 1508469966

JACOB BEDARD (DPT) is a healthcare provider. based in Braintree, Massachusetts. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 25070 (MA). The NPI Number for JACOB BEDARD (DPT) is 1508469966

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
JACOB BEDARD (DPT)
NPI
1508469966
Phone
(781) 961-3370
Address
703 GRANITE ST STE 3
Enumeration Date
18 November 2020
Last Update Date
18 November 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4132838303
Graduation Year
2020 (6 years ago)
PAC ID
7113338054
Group Practice PAC ID
0143503680
Professional Enrollment ID
I20201124002398
Address ID
MA010691216PA1415XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

2,873 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MA

Provider Addresses for JACOB BEDARD (DPT)

  • 703 GRANITE ST STE 3

    BRAINTREE, MA 021845350

    Phone: (781) 961-3370

    Fax: (781) 961-1291

    Type: Mailing

  • 23 WARE ST FL 3

    WEST BROOKFIELD, MA 015853137

    Phone: (508) 867-0180

    Fax: (508) 867-0182

    Type: Location

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: 2020-11-24

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20201124002398IPhysical Therapist In Private PracticeMATBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97140Therapy procedure using manual technique, each 15 minutes97770$0
97530Therapy procedure using functional activities76071$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes73673$0
97150Therapy procedure in a group setting64067$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes19256$0
View full utilization report →

Insurance plans in this area (ZIP 02184)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0143503680View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeNY
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA
-MA
Physical Therapist In Private PracticeMA
-MA
-MA
-MA
Physical Therapist In Private PracticeMA

Reviews

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Frequently asked questions

What is the registry number for JACOB BEDARD (DPT)?
The registry entry for JACOB BEDARD (DPT) shows NPI 1508469966.
Should I treat JACOB BEDARD (DPT) as an active provider?
Patients and plans typically see JACOB BEDARD (DPT) as active in the national extract.
What services align with JACOB BEDARD (DPT)'s listing?
JACOB BEDARD (DPT)'s public classification highlights Physical Therapist. Clinical services aligned with this taxonomy classification.
Is JACOB BEDARD (DPT) tied to Braintree, Massachusetts?
If you are local to Braintree, Massachusetts, JACOB BEDARD (DPT) may be relevant to your search.
Why is information missing for JACOB BEDARD (DPT)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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