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

Jonathan Allen Bly, PTA

Individual provider Specialist · NPI 1609232636

Jonathan Allen Bly, PTA is a Specialist in Roslindale, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2016.

Licensed in
MA
In the registry since
2016
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

15 Mosgrove Ave
Roslindale, MA 02131-1113
Phone: (617) 401-5892
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 9047 (MA)

Record details

NPI number1609232636
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedJanuary 6, 2016
Last updated in NPPESJanuary 6, 2016
Mailing address15 Mosgrove Ave, Roslindale, MA 02131-1113

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