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JAMIE LYN BANNON DPT
NPI 1285426502
Physical Therapist - Pediatrics in Boston, MA

Active since May 21, 2025
361 NEWBURY ST, BOSTON, MA 02115(617) 302-6244 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jamie Lyn Bannon Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAMIE LYN BANNON DPT (NPI 1285426502) is an individual pediatrics provider in Boston, Massachusetts, licensed in Massachusetts (16534) and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1285426502
Entity TypeIndividualFemale
Primary Taxonomy2251P0200X
Provider Legal NameJAMIE LYN BANNONCredential: DPT
Location Address361 NEWBURY STBoston, MA 02115-2727
Mailing Address54 Lucia DrPittsfield, MA 01201-8330 · (413) 281-7848
Phone(617) 302-6244
Sole ProprietorNo
Enumeration DateMay 21, 2025
NPPES CertifiedMay 18, 2025
✔ NPI 1285426502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
License✔ Licensed in MA · 16534
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
361 NEWBURY ST, Boston, MA 02115
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SNF PHYSIATRY SERVICES MA PLLC
Physical Medicine & Rehabilitation
361 NEWBURY ST
BOSTON, MA 02115
Suffolk County (877) 544-4446
DARE THERAPY PLLC
Counselor (Mental Health)
361 NEWBURY ST
BOSTON, MA 02115
Suffolk County (617) 297-7774
KATHLEEN COMEAU PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
361 NEWBURY ST
BOSTON, MA 02115
Suffolk County (617) 865-4910

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jamie Bannon's NPI number?

The NPI number for Jamie Bannon is 1285426502. It was assigned to this individual provider in the NPPES registry on May 21, 2025.

Where is Jamie Bannon located?

Jamie Bannon practices at 361 Newbury St, Boston, MA 02115. The listed phone number is (617) 302-6244.

What is Jamie Bannon's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

When was this NPI record last updated?

The NPPES record for Jamie Bannon was last updated on May 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.