Jiaxuan Gu, PT, DPT
NPI 1710706080ActiveIndividual· Physical Therapist· Wellesley, MA
Physical Therapist (PT, DPT) in Wellesley, Massachusetts, trained at Boston University School of Medicine (class of 2022). Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1710706080 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT |
| Sole proprietor | No |
| NPI issued | Oct 4, 2024 |
| Last updated in NPPES | Oct 4, 2024 |
| Certified by provider | Oct 4, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PTL26462 | MA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (MA) |
|---|
Education and affiliations
| Medical school | Boston University School of Medicine |
|---|---|
| Graduation year | 2022 |
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Greendale Physical Therapy LLCFitchburg, MA · 39 clinicians
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All 66 physical therapists in Wellesley · All physical therapists in Massachusetts