Active NPI
Kelly Bretagne, DPT
- Physical Therapist
- Randolph, MA
National Provider Identifier
1508773581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTL88692
- Practice address
- 26 S Main St
Randolph, MA 02368-4821 - Phone
- (781) 961-9200
- NPI assigned
- Aug 26, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTL88692 | MA | Primary |
Addresses
Primary practice location
26 S Main St
Randolph, MA 02368-4821
Mailing address
703 Granite St Ste 3
Braintree, MA 02184-5350
Phone (781) 961-3370
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787702400000",
"number": "1508773581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "703 GRANITE ST STE 3",
"city": "BRAINTREE",
"state": "MA",
"postal_code": "021845350",
"telephone_number": "781-961-3370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 S MAIN ST",
"city": "RANDOLPH",
"state": "MA",
"postal_code": "023684821",
"telephone_number": "781-961-9200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRETAGNE",
"first_name": "KELLY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-08-26",
"last_updated": "2026-08-26",
"certification_date": "2026-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "PTL88692",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Randolph, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.