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

Jonathan Tibbo

Individual provider Case Manager/Care Coordinator · NPI 1053036079

Jonathan Tibbo is a Case Manager/Care Coordinator in Boston, Massachusetts. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

66 Canal St
Boston, MA 02114-2002
Phone: (617) 619-5939
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1053036079
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 12, 2022
Last updated in NPPESOctober 12, 2022
Certification dateOctober 11, 2022
Mailing address66 Canal St, Boston, MA 02114-2002

Other providers in Boston