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

Jason Lou

Individual provider General Practice Physician · NPI 1649621442

Jason Lou is a Physical Medicine and Rehabilitation in Brockton, Massachusetts. Qualified in 2017, 9 years ago. Practices with Signature Healthcare Medical Group Inc, a 248-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Massachusetts.

Years since qualifying
9
Licensed in
IL, MA
In the registry since
2016
Specialties on file
2

Practice location Address checks out

110 Liberty St
Brockton, MA 02301-5674
Phone: (508) 565-3055
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9808 Venice Blvd, Culver City, CA 90232-2732 — (310) 945-3350

Specialties & licences

Sports Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081S0010X · Licence 291672 (MA)
General Practice Physician Taxonomy 208D00000X · Licence 036.150868 (IL)

Record details

NPI number1649621442
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 23, 2016
Last updated in NPPESJune 7, 2022
Certification dateJune 7, 2022
Mailing address110 Liberty St Ste 505, Brockton, MA 02301-5674

Medicare enrollment

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

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Signature Healthcare Medical Group Inc — 248 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Brockton