Individual provider Active NPI

Kaitlyn Doucakis, DPT, PT

  • Physical Therapist
  • Windham, NH
National Provider Identifier
1528616869
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
24452 Issued in NH
Practice address
32 Indian Rock Rd Unit 5
Windham, NH 03087-1697
Phone
(603) 890-8736
NPI assigned
Aug 29, 2019
Last updated
Aug 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 24452 NH Primary

Addresses

Primary practice location

32 Indian Rock Rd Unit 5
Windham, NH 03087-1697

Mailing address

32 Indian Rock Rd Unit 5
Windham, NH 03087-1697
Phone (603) 890-8736

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190905002401 MA Practitioner - Physical Therapist in Private Practice 0345579066 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24452NHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bay State Physical Therapy of Randolph Inc Physical Therapist PastSince Sep 1, 2019 Accepting new patients
Peak Performance Orthopedic Physical Therapy PC Physical Therapist PastSince Sep 1, 2019 Accepting new patients

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": "1567036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1528616869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 INDIAN ROCK RD UNIT 5",
            "city": "WINDHAM",
            "state": "NH",
            "postal_code": "030871697",
            "telephone_number": "603-890-8736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 INDIAN ROCK RD UNIT 5",
            "city": "WINDHAM",
            "state": "NH",
            "postal_code": "030871697",
            "telephone_number": "603-890-8736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUCAKIS",
        "first_name": "KAITLYN",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-29",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "24452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windham, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.