Individual provider Active NPI

Kayleigh Kinnelly

  • Physical Therapist
  • Sudbury, MA
National Provider Identifier
1386303147
Registry record updated May 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
530 Boston Post Rd BLDG 5
Sudbury, MA 01776-3480
Phone
(978) 639-4800
Fax
(978) 731-0971
NPI assigned
Dec 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2024

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

Specialties & licenses 2

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

Addresses

Primary practice location

530 Boston Post Rd BLDG 5
Sudbury, MA 01776-3480

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other practice location 1

6500 Eastern Ave Ste E&f
Baltimore, MD 21224-2900
Phone (410) 633-3670

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.19 of 100Reported as group
Quality
86.04
Improvement activities
40
Cost
76.23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Rehabilitation of Western New England LLC Physical Therapist CurrentSince May 26, 2024 Accepting new patients
Performance Rehabilitation of Western New England LLC Physical Therapist CurrentSince May 20, 2024 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Nov 22, 2021 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Nov 22, 2021 Accepting new patients
Performance Rehabilitation of Western New England LLC Physical Therapist CurrentSince May 20, 2024 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

33377 Collection Ctr Dr
Chicago, IL 60693
Phone (617) 284-9418

101 University Dr
Ste A6
Amherst, MA 01002
Phone (413) 336-5703

530 Boston Post Rd
Ste B
Sudbury, MA 01776
Phone (978) 639-4800

530 Boston Post Rd
Bldg 5
Sudbury, MA 01776
Phone (978) 639-4800

6500 Eastern Ave
Ste E
Baltimore, MD 21224
Phone (410) 633-3670

1510 Rock Spring Rd
Ste C
Forest Hill, MD 21050
Phone (410) 420-3619

52 Rising Sun Town Ctr
Rising Sun, MD 21911
Phone (410) 658-0100

1409 S Salisbury Blvd
Unit Cd
Salisbury, MD 21801
Phone (667) 330-1061

32030 23rd Ave S
Federal Way, WA 98003
Phone (253) 946-4852

Organizations & group practices 5

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": "1639008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1386303147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 BOSTON POST RD BLDG 5",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "017763480",
            "telephone_number": "978-639-4800",
            "fax_number": "978-731-0971"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6500 Eastern Ave Ste E&f",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212242900",
            "country_code": "US",
            "telephone_number": "410-633-3670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINNELLY",
        "first_name": "KAYLEIGH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-09",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sudbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.