Active NPI
Kyle Thomas Lacasse, DPT
- Physical Therapist
- Newton, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 425 Centre St
Newton, MA 02458-2063 - Phone
- (617) 244-1990
- NPI assigned
- Oct 13, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | RI | ||
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
425 Centre St
Newton, MA 02458-2063
Mailing address
250 E Main St
Norton, MA 02766-2436
Phone (578) 444-1005
Other practice location 1
1 Garnett Lane
Greenville, RI 02828
Phone (401) 949-0380
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, MD, DC
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
21 Mellor Ave
Catonsville, MD 21228-5106
Phone (443) 251-2760
4201 Mitchellville Rd
Suite 100
Bowie, MD 20716-3122
Phone (301) 464-5444
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25233 | MA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 4 Oaks Physical Therapy, LLC. | Single Specialty | Current | Accepting new patients |
| Bay State Physical Therapy PC | Single Specialty | Current | Accepting new patients |
| Marathon Physical Therapy and Sports Medicine, LLC | Single Specialty | Current | Accepting new patients |
| Marathon Physical Therapy and Sports Medicine, LLC | Single Specialty | Past | Accepting new patients |
Locations
425 Centre St
Newton, MA 02458
Phone (617) 244-1990
250 E Main St
Norton, MA 02766
Phone (508) 285-5533
99 Vanderbilt Ave
Norwood, MA 02062
Phone (781) 352-5400
4201 Mitchellville Rd
Ste 100
Bowie, MD 20716
Phone (301) 464-5444
21 Mellor Ave
Catonsville, MD 21228
Phone (443) 251-2760
2000 Century Plz
Columbia, MD 21044
Phone (410) 740-4802
1 Garnett Ln
Greenville, RI 02828
Phone (401) 949-0380
Organizations & group practices 4
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.
-
- Physical Therapy Clinic/Center
- Columbia, MD
- NPI 1144637570
DC, Single Specialty
-
- Physical Therapist
- Norton, MA
- NPI 1225161193
Single Specialty
-
- Physical Therapist
- Newton, MA
- NPI 1346373115
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630281600000",
"number": "1386048817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 E MAIN ST",
"city": "NORTON",
"state": "MA",
"postal_code": "027662436",
"telephone_number": "578-444-1005",
"fax_number": "085-285-4483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 CENTRE ST",
"city": "NEWTON",
"state": "MA",
"postal_code": "024582063",
"telephone_number": "617-244-1990"
}
],
"practiceLocations": [
{
"address_1": "1 Garnett Lane",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "RI",
"postal_code": "02828",
"country_code": "US",
"telephone_number": "401-949-0380",
"fax_number": "401-949-5581",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LACASSE",
"first_name": "KYLE",
"middle_name": "THOMAS",
"name_prefix": "Mr.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-10-13",
"last_updated": "2021-08-30",
"certification_date": "2021-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "RI",
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; 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.