Provider Demographics
NPI:1346604154
Name:JASON, BRIGETTE ANN (PT DPT)
Entity type:Individual
Prefix:DR
First Name:BRIGETTE
Middle Name:ANN
Last Name:JASON
Suffix:
Gender:F
Credentials:PT DPT
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:501 JOHN MAHAR HWY STE 100
Mailing Address - Street 2:
Mailing Address - City:BRAINTREE
Mailing Address - State:MA
Mailing Address - Zip Code:02184-6563
Mailing Address - Country:US
Mailing Address - Phone:781-214-1717
Mailing Address - Fax:339-201-3374
Practice Address - Street 1:501 JOHN MAHAR HWY STE 100
Practice Address - Street 2:
Practice Address - City:BRAINTREE
Practice Address - State:MA
Practice Address - Zip Code:02184-6563
Practice Address - Country:US
Practice Address - Phone:781-214-1717
Practice Address - Fax:339-201-3374
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-07
Last Update Date:2022-05-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA19201172V00000X, 225100000X, 2251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
No172V00000XOther Service ProvidersCommunity Health Worker
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist