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

Jennifer Liston Connolly

Individual provider Physical Therapist · NPI 1902228885

Jennifer Liston Connolly is a Physical Therapist in Private Practice in North Andover, Massachusetts. Qualified in 2013, 13 years ago. Practices with Functional Pathways Preferred of Tennessee LLC, a 192-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
13
Licensed in
MA
In the registry since
2014
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Practice location Address checks out

1801 Turnpike St
North Andover, MA 01845
Phone: (978) 688-1212
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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 20901 (MA)

Record details

NPI number1902228885
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 13, 2014
Last updated in NPPESJune 14, 2018

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Functional Pathways Preferred Of Tennessee Llc — 192 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in North Andover