Kane Square Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

KANE SQUARE PHYSICAL THERAPY

Practice address

427 Bowdoin St
Dorchester, MA 02122-1827

Phone

(617) 825-7300

Fax

(617) 825-7399

NPI assigned

Nov 21, 2006

Organization subpart

No

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

Authorized official

Name

Ana C. Correia

Title

Owner

Phone

(617) 825-7300

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gregory Berger, PT

  • Physical Therapist
  • Boston, MA
  • NPI 1568447373
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528133154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 256110",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021256110",
            "telephone_number": "617-825-7300",
            "fax_number": "617-825-7399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 BOWDOIN ST",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021221827",
            "telephone_number": "617-825-7300",
            "fax_number": "617-825-7399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANE SQUARE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CORREIA",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-825-7300"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nyindu Kabangu, LPN
• Aram V Kaligian, M.D.
• Elana Breanna Kalus, NP
• Lily A Kam, MD
• Emmanuel Kamonou
• Kane Square Physical Therapy, LLC
• Nicole Leeann Kanelos
• Holly Ann Kantor, PT
• Anup Karlath
• Michael Karol

• Physical Therapist in Dorchester, MA
• Providers in Dorchester, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.