Active NPI
Summer R Walsh, DPT
- Physical Therapist
- West Springfield, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 124 Myron St
West Springfield, MA 01089-1420 - Phone
- (413) 781-7538
- Fax
- (413) 781-0982
- NPI assigned
- Aug 4, 2022
- Last updated
- Apr 14, 2026
- Sex
- Female
- Sole proprietor
- No
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 | MA | Primary | |
| Physical Therapist | 225100000X | 070-026637 | IL |
Addresses
Primary practice location
124 Myron St
West Springfield, MA 01089-1420
Mailing address
2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211
Other practice location 1
233 Waukegan Rd
Lake Bluff, IL 60044-1666
Phone (847) 735-8104
Other names 1
- Miss Summer Rose Thibodeau
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
124 Myron St
West Springfield, MA 01089-1420
Phone (413) 781-7538
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070-026637 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Performance Rehabilitation of Western New England LLC | Physical Therapist | Current | Accepting new patients |
| Performance Rehabilitation of Western New England LLC | Physical Therapist | Current | Accepting new patients |
| Strength Training Inc | Past | Accepting new patients |
Locations
33377 Collection Ctr Dr
Chicago, IL 60693
Phone (617) 284-9418
2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515
101 University Dr
Ste A6
Amherst, MA 01002
Phone (413) 336-5703
124 Myron St
West Springfield, MA 01089
Phone (413) 781-7538
24 Lyman St
Ste 120
Westborough, MA 01581
Phone (508) 366-1433
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.
-
dba ATI Physical Therapy of Western Massachusetts
- Physical Therapist
- West Springfield, MA
- NPI 1710919063
-
dba ATI Physical Therapy
- Durable Medical Equipment & Medical Supplies
- Wilbraham, MA
- NPI 1376140566
Physical Therapist
-
dba STI Therapy Division
- Customized Equipment (DME)
- Phoenix, AZ
- NPI 1356552996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776124800000",
"number": "1497482962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 BUTTERFIELD RD STE 1600",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605151211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 MYRON ST",
"city": "WEST SPRINGFIELD",
"state": "MA",
"postal_code": "010891420",
"telephone_number": "413-781-7538",
"fax_number": "413-781-0982"
}
],
"practiceLocations": [
{
"address_1": "233 Waukegan Rd",
"address_purpose": "LOCATION",
"city": "Lake Bluff",
"state": "IL",
"postal_code": "600441666",
"country_code": "US",
"telephone_number": "847-735-8104",
"fax_number": "847-735-8231",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALSH",
"first_name": "SUMMER",
"middle_name": "R",
"name_prefix": "Mrs.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-04",
"last_updated": "2026-04-14",
"certification_date": "2026-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": null,
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070-026637",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUMMER",
"last_name": "THIBODEAU",
"middle_name": "ROSE",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in West Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.