Individual provider Active NPI

Kerwyn A Ross, DPT

  • Physical Therapist
  • Swampscott, MA
National Provider Identifier
1508575630
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1016 Paradise Rd
Swampscott, MA 01907-1352
Phone
(781) 309-9007
NPI assigned
Nov 17, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X WA
Physical Therapist 225100000X PA Primary
Physical Therapist 225100000X CP039251T GA

Addresses

Primary practice location

1016 Paradise Rd
Swampscott, MA 01907-1352

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211
Phone (866) 370-8206

Other practice location 1

4650 Hugh Howell Rd Ste 270
Tucker, GA 30084-5035
Phone (470) 857-3606

Other practice location 2

1301 Bristol Pike Ste B
Bensalem, PA 19020-6415
Phone (215) 645-9065

Other practice location 3

511 S Oxford Valley Rd
Fairless Hills, PA 19030-2612
Phone (215) 949-7985

Other practice location 4

4703 Pacific Hwy E Ste B
Tacoma, WA 98424-2620
Phone (253) 926-8202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, WA, PA, GA, MA5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20221213000030 DE Practitioner - Physical Therapist in Private Practice 8527437615 Reassigns benefits to 1 organization
I20231128003456 WA Practitioner - Physical Therapist in Private Practice 8527437615 Reassigns benefits to 1 organization
I20241101000081 PA Practitioner - Physical Therapist in Private Practice 8527437615 Reassigns benefits to 1 organization
I20250331001440 GA Practitioner - Physical Therapist in Private Practice 8527437615 Reassigns benefits to 1 organization
I20251231000597 MA Practitioner - Physical Therapist in Private Practice 8527437615 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Performance Rehabilitation of Western New England LLCGroup PAC ID 7911979950, 201 clinicians
Ati Holdings, LLCGroup PAC ID 9537112719, 440 clinicians
MCM Rehabilitation LLCGroup PAC ID 5294798336, 58 clinicians

Practice addresses (Care Compare)

1016 Paradise Rd
Swampscott, MA 01907-1352
Phone (857) 758-3766

22830 And 22832 Sussex Hwy 13 and
Ati Physical Therapy
Seaford, DE 19973-5862
Phone (302) 536-5562

4650 Hugh Howell Rd
Suite 270
Tucker, GA 30084-5035
Phone (470) 857-3606

511 S Oxford Valley Rd
Fairless Hills, PA 19030-2612
Phone (215) 949-7985

Merit-based Incentive Payment System (MIPS)

Final score
86.33 of 100Reported as group
Quality
88.06
Improvement activities
40
Cost
76.31

Merit-based Incentive Payment System (MIPS)

Final score
86.05 of 100Reported as group
Quality
89.12
Improvement activities
40
Cost
73.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP039251TGAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
MCM Rehabilitation LLC CurrentSince Feb 10, 2025 Accepting new patients
MCM Rehabilitation, LLC. Physical Therapist CurrentSince Feb 10, 2025 Accepting new patients
Apple Physical Therapy LLC Physical Therapist CurrentSince Nov 7, 2023 Accepting new patients
Apple Physical Therapy, LLC Physical Therapist CurrentSince Nov 7, 2023 Accepting new patients
Performance Rehabilitation of Western New England LLC Physical Therapist CurrentSince Dec 15, 2025 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Nov 7, 2022 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Nov 7, 2022 Accepting new patients
Performance Rehabilitation of Western New England LLC Physical Therapist CurrentSince Dec 15, 2025 Accepting new patients
Performance Rehabilitation of Western New England LLC Physical Therapist Past Accepting new patients

Locations

22830 Sussex Hwy
Ste 13
Seaford, DE 19973
Phone (302) 536-5562

97 Gateway Business Park Dr
Ringgold, GA 30736
Phone (706) 937-5771

4650 Hugh Howell Rd
Ste 270
Tucker, GA 30084
Phone (470) 857-3606

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

4947 Paysphere Cr
Chicago, IL 60674

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

101 University Dr
Ste A6
Amherst, MA 01002
Phone (413) 336-5703

1016 Paradise Rd
Swampscott, MA 01907
Phone (781) 309-9007

1301 Bristol Pike
Ste B
Bensalem, PA 19020
Phone (215) 645-9065

511 S Oxford Valley Rd
Fairless Hills, PA 19030
Phone (215) 949-7985

9475 Roosevelt Blvd
Philadelphia, PA 19114
Phone (215) 464-6200

118 Townsedge Dr
Quarryville, PA 17566
Phone (717) 806-5126

4220 Hoyt Ave
Everett, WA 98203
Phone (425) 258-5330

32030 23rd Ave S
Federal Way, WA 98003
Phone (253) 946-4852

130 Marvin Rd SE
Ste 203
Lacey, WA 98503
Phone (360) 456-3300

3015 Limited Ln NW
Ste B
Olympia, WA 98502
Phone (360) 709-0700

4703 Pacific Hwy E
#B
Tacoma, WA 98424
Phone (253) 926-8202

Organizations & group practices 9

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": "1668643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1508575630",
    "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",
            "telephone_number": "866-370-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 PARADISE RD",
            "city": "SWAMPSCOTT",
            "state": "MA",
            "postal_code": "019071352",
            "telephone_number": "781-309-9007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4650 Hugh Howell Rd Ste 270",
            "address_purpose": "LOCATION",
            "city": "Tucker",
            "state": "GA",
            "postal_code": "300845035",
            "country_code": "US",
            "telephone_number": "470-857-3606",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1301 Bristol Pike Ste B",
            "address_purpose": "LOCATION",
            "city": "Bensalem",
            "state": "PA",
            "postal_code": "190206415",
            "country_code": "US",
            "telephone_number": "215-645-9065",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "511 S Oxford Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Fairless Hills",
            "state": "PA",
            "postal_code": "190302612",
            "country_code": "US",
            "telephone_number": "215-949-7985",
            "fax_number": "215-949-7987",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4703 Pacific Hwy E Ste B",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984242620",
            "country_code": "US",
            "telephone_number": "253-926-8202",
            "fax_number": "253-926-8212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSS",
        "first_name": "KERWYN",
        "middle_name": "A",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-17",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "CP039251T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Swampscott, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; 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.