JACKSON ROSKAMP SMITH DPT NPI 1114703964

NPI Information

  • NPI: 1114703964
  • Provider Name: JACKSON ROSKAMP SMITH, DPT
  • Classification: Physical Therapist - 2251X0800X
  • Specialization: Orthopedic
  • Entity Type: Individual
  • Address: 133 BROOKLINE AVE
    BOSTON, MA
    ZIP 02215
  • Phone: (617) 421-1347

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NPI Details

Jackson Roskamp Smith, DPT is an orthopedic physical therapist in Boston, MA with 3 years of experience. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice. Jackson Roskamp Smith, DPT NPI is 1114703964. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

133 BROOKLINE AVE
BOSTON, MA
ZIP 02215-904
Phone: (617) 421-1347

The enumeration date for this NPI number is 9/7/2023 and was last updated on 9/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12251X0800XPhysical TherapistOrthopedicMASSACHUSETTSYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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