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

Jack Edwards, DPT

Individual provider Physical Therapist · NPI 1861381139

Jack Edwards, DPT is a Physical Therapist in Private Practice in Arlington, Massachusetts. Qualified in 2025, 1 year ago. Practices with Bay State Physical Therapy of Randolph Inc, a 443-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
1
Licensed in
MA
In the registry since
2025
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

22 Mill St Ste 406
Arlington, MA 02476-4744
Phone: (781) 646-8440
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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 PTL88770 (MA)

Record details

NPI number1861381139
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJuly 1, 2025
Last updated in NPPESJuly 1, 2025
Certification dateJuly 1, 2025
Mailing address703 Granite St Ste 3, Braintree, MA 02184-5350

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Bay State Physical Therapy Of Randolph Inc — 443 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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