Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jack James Lafreniere, PT, DPT

Individual provider Physical Therapist · NPI 1952255465

Jack James Lafreniere, PT, DPT is a Physical Therapist in Private Practice in South Portland, Maine. Qualified in 2017, 9 years ago. Works from 2 locations. Licensed in Maine.

Years since qualifying
9
Licensed in
ME
In the registry since
2026
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

119 Gannett Dr
South Portland, ME 04106-6942
Phone: (207) 773-0040
Fax: (207) 661-4630
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 584 Roosevelt Trl Unit 2, Windham, ME 04062-4983 — (207) 661-2828

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT7092 (ME)

Record details

NPI number1952255465
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedFebruary 23, 2026
Last updated in NPPESMarch 16, 2026
Certification dateMarch 16, 2026

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated

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