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

Mr. Jerry Charles Neistadt, MSPT

Individual provider Physical Therapist · NPI 1104027317

Mr. Jerry Charles Neistadt, MSPT is a Physical Therapist in Melrose, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2007.

Licensed in
MA
In the registry since
2007

Practice location Address checks out

22 Corey St
Melrose, MA 02176-4621
Phone: (781) 979-3165
Fax: (781) 979-3189
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 10270 (MA)

Record details

NPI number1104027317
Entity typeIndividual (Type 1)
GenderMale
Credentials MSPT
Sole proprietorNo
NPI enumeratedMay 29, 2007
Last updated in NPPESJuly 8, 2007

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