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

Mrs. Jennifer Massimino

Individual provider Pediatric Physical Therapist · NPI 1649840711

Mrs. Jennifer Massimino is a Pediatric Physical Therapist in Saint Louis, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2021

Practice location Address checks out

801 N 11th St
Saint Louis, MO 63101-1015
Phone: (314) 633-5300
Show map & directions

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

Specialties & licences

Pediatric Physical Therapist (primary) Taxonomy 2251P0200X · Licence 118744 (MO)

Record details

NPI number1649840711
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 30, 2021
Last updated in NPPESNovember 7, 2024
Certification dateNovember 7, 2024

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