DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JESSICA LYNN DOUGLAS, MSPT

Active Sole Proprietor

JESSICA LYNN DOUGLAS, MSPT is a Physical Therapy Assistant healthcare provider located in BOSTON, Massachusetts. NPI 1205814076 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · BOSTON, MA

Registration Details

NPI Number
1205814076
Provider Type
Individual
Gender
Female
NPI Issued
Jan 3, 2006 (20.585015308638 yrs)
Last Updated
Oct 15, 2025
License
15461 (MA)
Sole Proprietor
Yes

Practice Information

Address
4 WATER ST
BOSTON, MA, 021093503
Browse MA providers · Browse ZIP 02109
Phone
8572770923
Fax
8449128606
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in BOSTON, MA

Name Credential NPI
MR. DANIEL C BROWNRIDGE MSPT 1659379022
MR. DAVID E LARSON MSPT 1740288927
JACLYN V FEHRENBACK DPT 1699768861
MRS. DEBBIE F CANOA DPT 1679568950
DEBRA BAND PT 1245221845
NICHOLAS MITROPOULOS PT 1407847122
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.