Caryn Phillips, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

18700 Issued in MA

Practice address

266 Main St Ste 17
Medfield, MA 02052-2019

Phone

(508) 556-1397

NPI assigned

Nov 3, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Momlife Health and Wellness

  • Physical Therapist
  • Medfield, MA
  • NPI 1023746120
  NPD Authorized official
• Marathon Physical Therapy and Sports Medicine, LLC

  • Physical Therapist
  • Newton, MA
  • NPI 1346373115
  NPD (past)
• Platinum Physical Therapy, Inc.

  • Occupational Therapist
  • Ashland, MA
  • NPI 1225852106
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1288742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1013218361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 CENTRE ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024582063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 MAIN ST STE 17",
            "city": "MEDFIELD",
            "state": "MA",
            "postal_code": "020522019",
            "telephone_number": "508-556-1397"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "425 Centre St",
            "address_purpose": "LOCATION",
            "city": "Newton",
            "state": "MA",
            "postal_code": "024582063",
            "country_code": "US",
            "telephone_number": "617-244-1990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "CARYN",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-03",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "18700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BIDMC NPI",
            "identifier": "1548202641",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER #",
            "identifier": "220086",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BIDMC TAX ID#",
            "identifier": "042103881",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon Hall Perschy, LICSW, CCM
• Veronica Pesce, M.S.
• Anna C Petras, NP
• Kimberly Annett Petrucci
• Phuong Pham
• Kathryn A Piersiak, PT, DPT
• Christina Player, LICSW
• Mary Kate Porawski, PT, DPT
• Carrie Asma Quadir, FNP-C
• Raceel Fitek LMHC, P LLC

• Physical Therapist in Medfield, MA
• Providers in Medfield, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.