Individual provider Active NPI

Kshitija Phansalkar, PT

  • Physical Therapist
  • Natick, MA
National Provider Identifier
1083478655
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
18403 Issued in MA
Practice address
249 Speen St
Natick, MA 01760-2545
Phone
(508) 202-8440
NPI assigned
Feb 13, 2024
Last updated
Feb 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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 18403 MA Primary

Addresses

Primary practice location

249 Speen St
Natick, MA 01760-2545

Mailing address

249 Speen St
Natick, MA 01760-2545

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240611000342 MA Practitioner - Physical Therapist in Private Practice 7113469743 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Motion Physical TherapyGroup PAC ID 7618419243, 4 clinicians
Thelos PT LLCGroup PAC ID 2062937311, 7 clinicians

Practice addresses (Care Compare)

187 Lexington St
Suite 3
Waltham, MA 02452-4601
Phone (917) 335-4608

20 Speen St
Suite 101
Framingham, MA 01701-4174
Phone (781) 757-1114

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18403MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Motion Physical Therapy Physical Therapist CurrentSince May 15, 2024 Accepting new patients

Locations

187 Lexington St
Ste 3
Waltham, MA 02452
Phone (781) 390-3111

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1707782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1083478655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 SPEEN ST",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017602545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 SPEEN ST",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017602545",
            "telephone_number": "508-202-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHANSALKAR",
        "first_name": "KSHITIJA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-13",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "18403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Natick, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; 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.