Active NPI
Kayla Simone, DPT
- Physical Therapist
- Tewksbury, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTL27576
- Practice address
- 1830 Main St Apt 1
Tewksbury, MA 01876-4712 - Phone
- (978) 710-6254
- Fax
- (978) 710-6879
- NPI assigned
- May 14, 2024
- 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 | PTL27576 | MA | Primary |
Addresses
Primary practice location
1830 Main St Apt 1
Tewksbury, MA 01876-4712
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
- Enrolled in MA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1830 Main St
Apt 1
Tewksbury, MA 01876-4712
Phone (978) 710-6254
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay State Physical Therapy of Randolph Inc | Physical Therapist | Current | Accepting new patients |
| Bay State Physical Therapy of Randolph Inc | Current | Accepting new patients |
Locations
1343 Providence Hwy
Norwood, MA 02062
Phone (781) 702-1339
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.
-
dba Bay State Physical Therapy
- Physical Therapist
- Fall River, MA
- NPI 1164474334
-
dba Milton Chiropractic and Rehabilitation INC
- Chiropractor
- Quincy, MA
- NPI 1316507627
-
dba Bay State Physical Therapy
- Physical Therapist
- Franklin, MA
- NPI 1821108549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715644800000",
"number": "1588413561",
"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": "1830 MAIN ST APT 1",
"city": "TEWKSBURY",
"state": "MA",
"postal_code": "018764712",
"telephone_number": "978-710-6254",
"fax_number": "978-710-6879"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMONE",
"first_name": "KAYLA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-14",
"last_updated": "2024-05-14",
"certification_date": "2024-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "PTL27576",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tewksbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; 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.