JESSICA RENEE DOHERTY (MPT) – Physical Therapist, NPI 1689799967

JESSICA RENEE DOHERTY (MPT) is a healthcare provider. based in Wilmington, Massachusetts. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials MPT. They hold a License No. 16446 (MA). The NPI Number for JESSICA RENEE DOHERTY (MPT) is 1689799967

Main info

Female
Sole Proprietor
24 Years Of Experience
Name
JESSICA RENEE DOHERTY (MPT)
NPI
1689799967
Phone
(617) 733-8233
Address
33 HIGH ST
Enumeration Date
19 March 2007
Last Update Date
4 July 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2002 (24 years ago)
PAC ID
2365938248
Professional Enrollment ID
I20251230002313
Address ID
NJ088730000SO7XXXXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,873 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MA

Provider Addresses for JESSICA RENEE DOHERTY (MPT)

  • 33 HIGH ST

    WILMINGTON, MA 018871466

    Phone: (617) 733-8233

    Mailing address matches the actual address.

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: 2025-12-30

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
I20251230002313IPhysical 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

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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 01887)

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Reviews

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Frequently asked questions

Can I cross-check JESSICA RENEE DOHERTY (MPT) using NPI 1689799967?
NPI 1689799967 belongs to JESSICA RENEE DOHERTY (MPT); compare other details if you need extra assurance.
Is JESSICA RENEE DOHERTY (MPT) still an active registrant?
JESSICA RENEE DOHERTY (MPT) carries an active NPI according to the public dataset.
What clinical focus is listed for JESSICA RENEE DOHERTY (MPT)?
At a glance, JESSICA RENEE DOHERTY (MPT) is tied to Physical Therapist. Clinical services aligned with this taxonomy classification.
Is JESSICA RENEE DOHERTY (MPT) located near Wilmington?
JESSICA RENEE DOHERTY (MPT) currently maps to Wilmington, Massachusetts in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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