Individual provider Active NPI

Katelyn McCarthy, DPT

  • Physical Therapist
  • Quincy, MA
National Provider Identifier
1194505727
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL27040 Issued in MA
Practice address
111 Willard St Ste 2a
Quincy, MA 02169-1274
Phone
(617) 770-0022
Fax
(617) 471-1114
NPI assigned
Oct 2, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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 PTL27040 MA Primary

Addresses

Primary practice location

111 Willard St Ste 2a
Quincy, MA 02169-1274

Mailing address

703 Granite St Ste 3
Braintree, MA 02184-5350
Phone (781) 961-3370

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231016000962 MA Practitioner - Physical Therapist in Private Practice 8820443542 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MK Rehabilitation, LLCGroup PAC ID 7416975388, 14 clinicians

Practice addresses (Care Compare)

111 Willard St
Suite 2a
Quincy, MA 02169-1274
Phone (617) 471-4491

473 W Central St
Franklin, MA 02038-2901
Phone (508) 528-0147

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL27040MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bay State Physical Therapy of Randolph Inc Physical Therapist CurrentSince Sep 2, 2024 Accepting new patients
MK Rehabilitation, LLC Physical Therapist CurrentSince Oct 8, 2025 Accepting new patients

Locations

703 Granite St
Ste 3
Braintree, MA 02184

272 Columbia Rd
Ste 4
Hanover, MA 02339
Phone (714) 856-5625

57 Snow Rd
Marshfield, MA 02050
Phone (781) 834-4600

1343 Providence Hwy
Norwood, MA 02062
Phone (781) 702-1339

111 Willard St
Ste 2A
Quincy, MA 02169
Phone (617) 471-4491

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1194505727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 GRANITE ST STE 3",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021845350",
            "telephone_number": "781-961-3370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 WILLARD ST STE 2A",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021691274",
            "telephone_number": "617-770-0022",
            "fax_number": "617-471-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTHY",
        "first_name": "KATELYN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "PTL27040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; 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.