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

Niketa Kedar Jayawant

Individual provider Physical Therapist · NPI 1265934475

Niketa Kedar Jayawant is a Physical Therapist in Private Practice in Medford, Massachusetts. Qualified in 2013, 13 years ago. Practices with Bay State Physical Therapy of Randolph Inc, a 443-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
13
Licensed in
MA
In the registry since
2018
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Practice location Address checks out

200 Governors Ave
Medford, MA 02155-1644
Phone: (781) 391-5400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 23502 (MA)

Record details

NPI number1265934475
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 3, 2018
Last updated in NPPESJune 30, 2020
Certification dateJune 30, 2020

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Bay State Physical Therapy Of Randolph Inc — 443 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Medford