Individual provider Active NPI

Kerry Prifti, PT

  • Physical Therapist
  • Stoneham, MA
National Provider Identifier
1457629321
Registry record updated Dec 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
16216 Issued in MA
Practice address
35 Tremont St
Stoneham, MA 02180-1273
Phone
(617) 771-6860
NPI assigned
Dec 7, 2011
Last updated
Dec 7, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2011

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 16216 MA Primary

Addresses

Primary practice location

35 Tremont St
Stoneham, MA 02180-1273

Mailing address

35 Tremont St
Stoneham, MA 02180-1273
Phone (617) 771-6860

Other names 1

  • Kerry Clark Former name

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16216MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physiotherapy Associates Inc CurrentSince Aug 1, 2024 Accepting new patients
Physiotherapy Associates Inc CurrentSince Aug 1, 2024 Accepting new patients
Physiotherapy Associates Inc PastSince Jan 7, 2024 Accepting new patients

Locations

3119 Cranberry Hwy
Ste 2
East Wareham, MA 02538
Phone (508) 759-5411

3119 Cranberry Hwy
Ste 5E
East Wareham, MA 02538
Phone (508) 759-5411

860 Route 134
Ste 5
South Dennis, MA 02660
Phone (508) 385-4212

Organizations & group practices 3

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": "1323216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323216000000",
    "number": "1457629321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 TREMONT ST",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021801273",
            "telephone_number": "617-771-6860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 TREMONT ST",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021801273",
            "telephone_number": "617-771-6860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIFTI",
        "first_name": "KERRY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-07",
        "last_updated": "2011-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "16216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KERRY",
            "last_name": "CLARK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Stoneham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.