Provider Demographics
NPI:1548815186
Name:BARNABY, JILLIAN (PT, DPT, CSCS)
Entity type:Individual
Prefix:DR
First Name:JILLIAN
Middle Name:
Last Name:BARNABY
Suffix:
Gender:F
Credentials:PT, DPT, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:218 SCHOOL ST
Mailing Address - Street 2:
Mailing Address - City:BOYLSTON
Mailing Address - State:MA
Mailing Address - Zip Code:01505-1400
Mailing Address - Country:US
Mailing Address - Phone:774-314-7472
Mailing Address - Fax:
Practice Address - Street 1:218 SCHOOL ST
Practice Address - Street 2:
Practice Address - City:BOYLSTON
Practice Address - State:MA
Practice Address - Zip Code:01505-1400
Practice Address - Country:US
Practice Address - Phone:774-314-7472
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-08
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA24428225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist