Organization Active NPI

Advantage Physical Therapy & Sports Rehabilitation, PC

  • Physical Therapist
  • Somerset, MA
National Provider Identifier
1063563336
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
13372 Issued in MA
Legal business name
ADVANTAGE PHYSICAL THERAPY & SPORTS REHABILITATION, PC
Practice address
1440 Grand Army Hwy
Somerset, MA 02726-1218
Phone
(508) 675-0248
Fax
(508) 675-0294
NPI assigned
Jan 15, 2007
Last updated
May 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Authorized official

Name
Mr. Kevin Christopher Harding, MPTNPI 1184749996
Title
Therapist
Phone
(508) 675-0248

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 13372 MA Primary

Addresses

Primary practice location

1440 Grand Army Hwy
Somerset, MA 02726-1218

Mailing address

1440 Grand Army Hwy
Somerset, MA 02726-1218
Phone (508) 675-0248

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040809000850 MA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3779555966 Receives reassigned benefits from 1 practitioner
Practice locations: Somerset, MA

National Provider Directory

National Provider Directory

Locations

1440 Gar Hwy
#6
Somerset, MA 02726
Phone (508) 675-0248

1440 Grand Army Hwy
Somerset, MA 02726
Phone (508) 675-0248

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778544000000",
    "number": "1063563336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 GRAND ARMY HWY",
            "city": "SOMERSET",
            "state": "MA",
            "postal_code": "027261218",
            "telephone_number": "508-675-0248",
            "fax_number": "508-675-0294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 GRAND ARMY HWY",
            "city": "SOMERSET",
            "state": "MA",
            "postal_code": "027261218",
            "telephone_number": "508-675-0248",
            "fax_number": "508-675-0294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE PHYSICAL THERAPY & SPORTS REHABILITATION, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A",
        "authorized_official_last_name": "HARDING",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "508-675-0248",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "13372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.