Individual
KENT P JASKOVIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13115
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0318922
MEDICAID WELFARE
—
05
—
0318922
—
MA
01
—
2779432
CIGNA HEALTH PLAN
—
01
—
2779432001
CIGNA PAL ID
—
01
—
35481155
CIGNA HEALTHSOURCE
—
01
—
43205
FALLON COMMUNITY HEALTH P
—
01
—
7248629
AETNA US HEALTHCARE
—
01
—
AA4052
HARVARD PILGRIM HEALTHCAR
—
01
—
Y67947
BLUE SHIELD HMO BLUE
—
01
—
Y68470
MEDICARE B
—
Enumeration date
01/09/2006
Last updated
07/13/2026
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