Individual provider Active NPI

Summer R Walsh, DPT

  • Physical Therapist
  • West Springfield, MA
National Provider Identifier
1497482962
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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 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 Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241227002551 MA Practitioner - Physical Therapist in Private Practice 1456734888 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
070-026637ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Rehabilitation of Western New England LLC Physical Therapist CurrentSince Jan 5, 2025 Accepting new patients
Performance Rehabilitation of Western New England LLC Physical Therapist CurrentSince Jan 5, 2025 Accepting new patients
Strength Training Inc PastSince Dec 9, 2022 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.

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.

Verify at the official NPI Registry.