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

Jessica Ann Roth

Individual provider Surgical Physician Assistant · NPI 1487121489

Jessica Ann Roth is a Physician Assistant in Boston, Massachusetts. Qualified in 2018, 8 years ago. Practices with Pratt Orthopaedic Associates Inc, a 30-clinician group and works from 2 locations. Licensed in Massachusetts.

Years since qualifying
8
Licensed in
MA
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

800 Washington St
Boston, MA 02111-1552
Phone: (617) 636-7846
Fax: (617) 636-5178
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 155 Caversham Woods, Pittsford, NY 14534-2844 — (585) 330-5849

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA6909 (MA)

Record details

NPI number1487121489
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 28, 2018
Last updated in NPPESAugust 19, 2025
Certification dateAugust 19, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Pratt Orthopaedic Associates Inc — 30 clinicians
Accepts Medicare assignment Not indicated

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