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

Jessica Babcock

Individual provider Physical Therapist · NPI 1053055921

Jessica Babcock is a Physical Therapist in Private Practice in Waltham, Massachusetts. Qualified in 2022, 4 years ago. Practices with PT 360 Inc, an 18-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
4
Licensed in
MA
In the registry since
2022
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Practice location Address checks out

431 River St Ste 4
Waltham, MA 02453-5483
Phone: (781) 314-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (MA)

Record details

NPI number1053055921
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 26, 2022
Last updated in NPPESMay 10, 2022
Certification dateMay 10, 2022
Mailing address576 Broadhollow Rd Ste Proex, Melville, NY 11747-5002

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Pt 360 Inc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Waltham