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

Individual provider Physical Therapist · NPI 1073137287

Jeremy Lichtman, PT is a Physical Therapist in Private Practice in Randolph, Massachusetts. Qualified in 2020, 6 years ago. Practices with Bay State Physical Therapy of Randolph Inc, a 443-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
6
Licensed in
MA
In the registry since
2020
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

26 S Main St
Randolph, MA 02368-4821
Phone: (781) 961-9200
Fax: (781) 961-6599
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 300 Ocean Ave, Revere, MA 02151-3675 — (781) 485-6222

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 24886 (MA)

Record details

NPI number1073137287
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedJune 3, 2020
Last updated in NPPESDecember 3, 2020
Certification dateDecember 3, 2020

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Bay State Physical Therapy Of Randolph Inc — 443 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Randolph