Active NPI
Joshua Kudo, DPT
- Physical Therapist
- Springfield, MA
National Provider Identifier
1477054625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 23469
- Practice address
- 1150 Hall of Fame Ave Ste 3
Springfield, MA 01105-2532 - Phone
- (413) 241-8900
- Fax
- (413) 241-8901
- NPI assigned
- Feb 23, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 23469 | MA | Primary |
Addresses
Primary practice location
1150 Hall of Fame Ave Ste 3
Springfield, MA 01105-2532
Mailing address
210 Commerce Way Ste 120
Portsmouth, NH 03801-8200
Phone (603) 427-8066
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
| License | State | Type | Specialty |
|---|---|---|---|
| 23469 | MA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Competitive Edge Physical Therapy & Sports Training, LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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
- Norwell, MA
- NPI 1366502023
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519344000000",
"number": "1477054625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 COMMERCE WAY STE 120",
"city": "PORTSMOUTH",
"state": "NH",
"postal_code": "038018200",
"telephone_number": "603-427-8066",
"fax_number": "603-501-0495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 HALL OF FAME AVE STE 3",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011052532",
"telephone_number": "413-241-8900",
"fax_number": "413-241-8901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUDO",
"first_name": "JOSHUA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-02-23",
"last_updated": "2018-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "23469",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.