Jared Ivankovic-Macgibbon

Physical Therapist · Dedham, MA

Individual Active NPI

NPI number 1154043784

Practice location

391 Common St
Dedham, MA 02026-4055
Phone
(877) 407-3422
Fax
(877) 407-4329

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NPI record

NPI
1154043784
Entity type
Individual (Type 1)
Enumeration date
September 12, 2022
Last updated
September 12, 2022
Certified
September 12, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapist Primary 225100000X 26304 MA

Mailing address

7 Carnegie PLZ
Cherry Hill, NJ 08003-1000
Phone
(877) 407-3422
Fax
(877) 407-4329

About Jared Ivankovic-Macgibbon

Jared Ivankovic-Macgibbon is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapist (code 225100000X). The practice location is 391 Common St, Dedham, MA 02026-4055. The NPI number 1154043784 was assigned on September 12, 2022 and the record was last updated on September 12, 2022.

Jared Ivankovic-Macgibbon lists a license in the registry: #26304 (MA) for Physical Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jared Ivankovic-Macgibbon?

The NPI number is 1154043784.

What is the phone number of Jared Ivankovic-Macgibbon?

The phone number listed for the practice location is (877) 407-3422.

Where is Jared Ivankovic-Macgibbon located?

391 Common St, Dedham, MA 02026-4055.

What is the taxonomy code for Jared Ivankovic-Macgibbon?

The primary taxonomy code is 225100000X – Physical Therapist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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