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

Jessica Shattuck, DPT

Individual provider Physical Therapist · NPI 1023308681

Jessica Shattuck, DPT is a Physical Therapist in Private Practice in Brookline, Massachusetts. Qualified in 2010, 16 years ago. Practices with Kinisi LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
16
Licensed in
MA
In the registry since
2011
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

637 Washington St Ste 102
Brookline, MA 02446
Phone: (617) 734-6135
Fax: (617) 734-3744
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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 19301 (MA)

Record details

NPI number1023308681
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedApril 15, 2011
Last updated in NPPESNovember 19, 2013

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Kinisi Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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