Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1609232636 Individual Practitioner Male Practitioner

Jonathan Allen Bly , PTA

Specialist • Roslindale, MA

Professional Overview & Biography Verified Profile Summary

Jonathan Bly, PTA is a registered healthcare professional specializing in Specialist in Roslindale, MA. Practice services are available at 15 MOSGROVE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

15 Mosgrove Ave

Roslindale, MA 021311113

Telephone 6174015892

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Roslindale, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 28.0 Yrs
State Avg: 37.9 Yrs
Regional Practice Density
2 Specialists

Practicing in Roslindale, MA (1181 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License MA 9047

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 06, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location January 06, 2016

Registered at 15 MOSGROVE AVE, ROSLINDALE, MA 021311113 (Tel: 6174015892)

📍
Updated Business Mailing Address January 06, 2016

Registered at 15 MOSGROVE AVE, ROSLINDALE, MA 021311113 (Tel: 6174015892)

👤
Provider Name / Credentials Updated January 06, 2016

Recorded as JONATHAN BLY, PTA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 06, 2016

Specialist (License #9047 in MA)

🟢
Initial NPI Registration & Enumeration January 06, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1609232636
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 06, 2016
Last Update: January 06, 2016
Sole Proprietor: No

Mailing Address

15 Mosgrove Ave

Roslindale, MA 021311113

Phone: 6174015892

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.