Individual provider Active NPI

Jeffrey Kamuda, DPT

  • Physical Therapist
  • Salem, NH
National Provider Identifier
1508054735
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL10392 Issued in MA
Practice address
16 Pelham Rd Ste 1
Salem, NH 03079-3077
Phone
(978) 794-1946
NPI assigned
Oct 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

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 3283 NH
Physical Therapist 225100000X PTL10392 MA Primary

Addresses

Primary practice location

16 Pelham Rd Ste 1
Salem, NH 03079-3077

Mailing address

575 Turnpike St Ste 11
North Andover, MA 01845-5937
Phone (978) 794-1946

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080212000427 NH Practitioner - Physical Therapist in Private Practice 0446333686 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Orthopaedic Alliance PLLCGroup PAC ID 5991149809, 288 clinicians

Practice addresses (Care Compare)

16 Pelham Rd
Suite 1
Salem, NH 03079-3077
Phone (603) 898-2244

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10392MAMDEndodontist
PTL10392MAMDPhysical Therapist
3283NHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Eone Medical PLLC CurrentSince Mar 24, 2022 Accepting new patients
Optima Sports Therapy & Rehabilitation Current Accepting new patients

Locations

62 Brown St
Ste 303
Haverhill, MA 01830
Phone (978) 556-9060

16 Pelham Rd
Salem, NH 03079
Phone (603) 894-1111

16 Pelham Rd
Ste 2
Salem, NH 03079
Phone (603) 894-1111

16 Pelham Rd
Ste 1
Salem, NH 03079
Phone (603) 898-2244

Interoperability endpoints

  • Direct secure messaging: jeffrey.kamuda.1@26085.direct.athenahealth.com

Organizations & group practices 4

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": "1192147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1508054735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 TURNPIKE ST STE 11",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018455937",
            "telephone_number": "978-794-1946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 PELHAM RD STE 1",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030793077",
            "telephone_number": "978-794-1946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMUDA",
        "first_name": "JEFFREY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-12",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "3283",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "PTL10392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; 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.