Jimmy Kakouris, PT, DPT. CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

18231 Issued in MA

Practice address

81 Shrewsbury St Ste 1
Boylston, MA 01505-1701

Phone

(774) 614-1322

Fax

(774) 614-1171

NPI assigned

May 24, 2007

Last updated

Aug 20, 2026By the provider in NPPES

Sex

Male

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 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ethos Rehabilitation IncGroup PAC ID 3072990068, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ethos Rehabilitation Inc

  • Physical Therapy Clinic/Center
  • Boylston, MA
  • NPI 1548900418

  Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1306057146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1110",
            "city": "BOYLSTON",
            "state": "MA",
            "postal_code": "015051810",
            "telephone_number": "774-614-1322",
            "fax_number": "774-614-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 SHREWSBURY ST STE 1",
            "city": "BOYLSTON",
            "state": "MA",
            "postal_code": "015051701",
            "telephone_number": "774-614-1322",
            "fax_number": "774-614-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAKOURIS",
        "first_name": "JIMMY",
        "credential": "PT, DPT. CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "18231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "18231",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.