Individual provider Active NPI

Kathryn Berry, PT

  • Physical Therapist
  • Wayland, MA
National Provider Identifier
1043973647
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL89461 Issued in MA
Practice address
31 Andrew Ave
Wayland, MA 01778-3026
Phone
(508) 358-3410
Fax
(844) 912-8609
NPI assigned
Oct 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTL89461 MA Primary

Addresses

Primary practice location

31 Andrew Ave
Wayland, MA 01778-3026

Mailing address

4 Richmond SQ
Providence, RI 02906-5117
Phone (401) 433-4172

Other practice location 1

2250 E Palm Valley Blvd Ste 20
Round Rock, TX 78665-4533
Phone (512) 975-7199

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, WA, MA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20220321001084 AZ Practitioner - Physical Therapist in Private Practice 0143615666 Reassigns benefits to 2 organizations
I20230414001123 WA Practitioner - Physical Therapist in Private Practice 0143615666 Reassigns benefits to 2 organizations
I20260413000580 MA Practitioner - Physical Therapist in Private Practice 0143615666 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Silver Fern Practice LLCGroup PAC ID 1658266515, 297 clinicians
Integrated Rehabilitation Group PCGroup PAC ID 0042111718, 192 clinicians

Practice addresses (Care Compare)

31 Andrew Ave
Wayland, MA 01778-3026
Phone (508) 358-3410

35323 SE Douglas St
Suite 210
Snoqualmie, WA 98065-9289
Phone (425) 292-1477

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL89461MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System Current Accepting new patients
Multicare Health System Physical Therapist CurrentSince Apr 3, 2023 Accepting new patients
Ati Holdings of Arizona, LLC Physical Therapist CurrentSince Nov 25, 2021 Accepting new patients
Integrated Rehabilitation Group, PC Physical Therapist CurrentSince May 19, 2025 Accepting new patients
Integrated Rehabilitation Group, PC Physical Therapist CurrentSince May 19, 2025 Accepting new patients
Strength Training Inc Physical Therapist CurrentSince May 7, 2024 Accepting new patients
Multicare Health System CurrentSince Apr 3, 2023 Accepting new patients
Ideal Rehabilitation LLC Past Accepting new patients
Strength Training Inc Past Accepting new patients

Locations

1485 E Florence Blvd
Ste 105
Casa Grande, AZ 85122
Phone (520) 494-3058

11209 N Tatum Blvd
Ste B120
Phoenix, AZ 85028
Phone (602) 595-0204

17233 N Holmes Blvd
Ste 1650
Phoenix, AZ 85053
Phone (602) 547-1836

1020 S Harrison Rd
Unit 120
Tucson, AZ 85748
Phone (520) 207-6288

5393 S Calle Santa Cruz
Ste 107
Tucson, AZ 85706
Phone (520) 225-0129

6872 E Sunrise Dr
Ste 100
Tucson, AZ 85750
Phone (520) 989-5515

11361 S Foothills Blvd
Ste 3
Yuma, AZ 85367
Phone (928) 342-7234

790 Remington Blvd
Bolingbrook, IL 60440

10207 19th Ave SE
Everett, WA 98208
Phone (425) 337-3166

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

403 W Stanley St
Granite Falls, WA 98252
Phone (360) 691-4835

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

4220 132nd St SE
Ste 101
Mill Creek, WA 98012
Phone (425) 316-8046

35323 SE Douglas St
Ste 210
Snoqualmie, WA 98065
Phone (425) 292-1477

201 W North River Dr
Ste 510
Spokane, WA 99201
Phone (509) 323-0066

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

6704 Tacoma Mall Blvd
Ste 100
Tacoma, WA 98409
Phone (253) 475-4870

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1634688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1043973647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 RICHMOND SQ",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029065117",
            "telephone_number": "401-433-4172",
            "fax_number": "401-433-0612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 ANDREW AVE",
            "city": "WAYLAND",
            "state": "MA",
            "postal_code": "017783026",
            "telephone_number": "508-358-3410",
            "fax_number": "844-912-8609"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2250 E Palm Valley Blvd Ste 20",
            "address_purpose": "LOCATION",
            "city": "Round Rock",
            "state": "TX",
            "postal_code": "786654533",
            "country_code": "US",
            "telephone_number": "512-975-7199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERRY",
        "first_name": "KATHRYN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-20",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "PTL89461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayland, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.