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

Jonathan Allen Bly, PTA

Individual provider Specialist · NPI 1609232636

Jonathan Allen Bly, PTA is a Specialist in Roslindale, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2016.

Licensed in
MA
In the registry since
2016
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

15 Mosgrove Ave
Roslindale, MA 02131-1113
Phone: (617) 401-5892
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 9047 (MA)

Record details

NPI number1609232636
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedJanuary 6, 2016
Last updated in NPPESJanuary 6, 2016

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