JENNIFER HATHAWAY (NPI# 1225425887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225425887 |
| Entity Type | Individual |
| Full Name | JENNIFER HATHAWAY |
| Credential | PT, DPT |
| Practice Address |
15 Parkman St Wang Ambulatory Care Center, Room 128 Boston MA 02114-3117 |
| Practice Telephone | 6176439855 |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2015-04-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
21430 | MA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477558815 | Jennifer Ann Hathaway | Dentist | 1719 Broadmoor Dr, Bryan, TX 77802-5210 | 2005-06-14 |
| 1467957555 | Jennifer Hathaway | Nurse Practitioner | 1175 S Perry St Ste 200, Castle Rock, CO 80104-0015 | 2018-03-29 |
| Street Address |
15 PARKMAN ST WANG AMBULATORY CARE CENTER, ROOM 128 |
| City | BOSTON |
| State | MA |
| Zip Code | 02114-3117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972505402 | Mira Kautzky | Internal Medicine | 15 Parkman St, Suite 645, Wacc, Boston, MA 02114 | 2005-08-15 |
| 1528678646 | Lizabeth J Flash | Psychiatry & Neurology | 15 Parkman St, Boston, MA 02114-3117 | 2020-08-04 |
| 1710513726 | Travis Robert Hallett | Student in an Organized Health Care Education/Training Program | 15 Parkman St, Wacc-6-635, Boston, MA 02114 | 2020-03-21 |
| 1679118780 | Loren Hasse | Physical Medicine & Rehabilitation | 15 Parkman St, Boston, MA 02114-3117 | 2019-11-12 |
| 1891344354 | Wallace Leo Frigon Jr. | Physical Therapist | 15 Parkman St, Boston, MA 02114-3117 | 2019-09-08 |
| 1447818539 | Catherine Moore | Registered Nurse | 15 Parkman St, Boston, MA 02114-3117 | 2019-06-03 |
| 1285197038 | Ashley Marie O'brien | Physical Therapist | 15 Parkman St, Wac 134, Boston, MA 02114-3117 | 2019-04-09 |
| 1386105302 | Ayana Robertson | Physical Therapist | 15 Parkman St, Boston, MA 02114-3117 | 2019-03-31 |
| 1407315765 | Griffin Ayaz Tyree | Student in an Organized Health Care Education/Training Program | 15 Parkman St, Wang 812, Boston, MA 02114-3117 | 2019-03-17 |
| 1962987172 | Joshua Connor Torrey | Physical Therapist | 15 Parkman St, Boston, MA 02114-3117 | 2018-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588276281 | Guoliang Qiao | Student in an Organized Health Care Education/Training Program | Massachusetts General Hospital, 55 Fruit Street., Boston, MA 02114 | 2020-08-24 |
| 1881223741 | Alexander Wesley Zirulnik | Student in an Organized Health Care Education/Training Program | 55 Fruit St. Boston, Boston, MA 02114 | 2020-04-03 |
| 1376170548 | Mia Yu Bothwell | Student in an Organized Health Care Education/Training Program | Gray Bigelow 730, 55 Fruit Street, Boston, MA 02114 | 2020-03-26 |
| 1225661036 | David Dongkyung Kim | Student in an Organized Health Care Education/Training Program | 6 Whittier Place, Apartment 15b, Boston, MA 02114 | 2020-02-20 |
| 1124651658 | Madeleine Sertic | Student in an Organized Health Care Education/Training Program | Division of Abdominal Imaging, Department of Radiology, 55 Fruit Street, White 270, Boston, MA 02114 | 2020-02-12 |
| 1285274498 | Jiuk James Jung | Student in an Organized Health Care Education/Training Program | 15 Parkman Ave, Wang 4-460, Boston, MA 02114 | 2020-01-15 |
| 1831740448 | Jennifer Hughes | Physician Assistant | 55 Fruit Street, Founders 110, Boston, MA 02114 | 2019-09-25 |
| 1558827220 | Aluma Chovel Sella | Student in an Organized Health Care Education/Training Program | Massgeneral Hospital for Children Main Campus, 55 Fruit Street, Boston, MA 02114 | 2019-02-18 |
| 1083187140 | Henry Oliveras | Massage Therapist | 102 Charles Street, Boston, MA 02114 | 2019-01-10 |
| 1720550031 | Nicole M Price | Social Worker | 29 Staniford St, Boston, MA 02114 | 2018-12-27 |
| Find all providers in zip 02114 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487291928 | Michael Micco | Physical Therapist | 70 Day St Apt 2, Boston, MA 02130-1191 | 2019-12-03 |
| 1801252317 | Melissa Mae Hines | Physical Therapist | 364 Boylston St, Boston, MA 02116-3806 | 2016-01-13 |
| 1487877585 | Jennifer Guerin | Physical Therapist | 11 Belvidere St Apt 4, Boston, MA 02115-3143 | 2007-04-10 |
| 1144310210 | Dustienne Miller | Physical Therapist | 262 Beacon St Ste 5, Boston, MA 02116-1295 | 2006-10-12 |
| 1659372324 | Marco Volpe | Physical Therapist | 28 Atlantic Ave, 125 Lewis Wharf, Boston, MA 02110-3926 | 2005-08-03 |
| 1831722305 | Adam Schmidt | Physical Therapist | 15 Parkman St Ste 128, Boston, MA 02114-3117 | 2020-02-12 |
| 1528608049 | Emma Zeligson | Physical Therapist | 915 Commonwealth Ave Rear, Boston, MA 02215-1394 | 2020-01-13 |
| 1790331064 | Personal Pt | Physical Therapist | 87 Gainsborough St Apt 408, Boston, MA 02115-6537 | 2019-08-13 |
| 1861973588 | Caleigh Marie O'brien | Physical Therapist | 915 Commonwealth Ave, Boston, MA 02215-1394 | 2018-08-22 |
| 1649797002 | Jessica Moy | Physical Therapist | 4 Water St, Boston, MA 02109 | 2017-08-26 |
| Find all providers in BOSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.