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

Individual provider Pediatric Physical Therapist · NPI 1285426502

Jamie Lyn Bannon, DPT is a Pediatric Physical Therapist in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2025.

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

361 Newbury St
Boston, MA 02115-2727
Phone: (617) 302-6244
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Physical Therapist (primary) Taxonomy 2251P0200X · Licence 16534 (MA)

Record details

NPI number1285426502
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedMay 21, 2025
Last updated in NPPESMay 21, 2025
Certification dateMay 18, 2025

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