Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jared Michael Fagerstrom, DPT

Individual provider Physical Therapist · NPI 1306516984

Dr. Jared Michael Fagerstrom, DPT is a Physical Therapist in Brockton, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2021.

Licensed in
MA
In the registry since
2021
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

940 Belmont St Bldg 2
Brockton, MA 02301-5568
Phone: (774) 826-1563
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 25734 (MA)

Record details

NPI number1306516984
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedSeptember 15, 2021
Last updated in NPPESSeptember 15, 2021
Certification dateSeptember 15, 2021
Mailing address44 S Gate Park, West Newton, MA 02465-1616

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