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

Jessie M Maniscalco, PT

Individual provider Pediatric Physical Therapist · NPI 1861902363

Jessie M Maniscalco, PT is a Physical Therapist in Private Practice in Mashpee, Massachusetts. Qualified in 2017, 9 years ago. Practices with Bay State Physical Therapy of Randolph Inc, a 443-clinician group and accepts Medicare assignment. Licensed in Connecticut and Massachusetts.

Years since qualifying
9
Licensed in
CT, MA
In the registry since
2017
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

See every abbreviation used in this directory →

Practice location Address checks out

168 Industrial Dr
Mashpee, MA 02649-3561
Phone: (508) 477-4800
Fax: (508) 477-5377
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 24210 (MA)
Pediatric Physical Therapist Taxonomy 2251P0200X · Licence 11611 (CT)

Record details

NPI number1861902363
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedOctober 10, 2017
Last updated in NPPESMay 21, 2020
Certification dateMay 21, 2020

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Bay State Physical Therapy Of Randolph Inc — 443 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount