Individual provider Active NPI

Megumi Elspeth Kamibeppu, DPT

  • Orthopedic Physical Therapist
  • Boston, MA
National Provider Identifier
1588490718
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PTL27905 Issued in MA
Practice address
660 Beacon St
Boston, MA 02215-2002
Phone
(617) 536-1160
Fax
(844) 283-4933
NPI assigned
Sep 13, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PTL27905 MA Primary

Addresses

Primary practice location

660 Beacon St
Boston, MA 02215-2002

Mailing address

4 Richmond SQ
Providence, RI 02906-5117
Phone (401) 433-4172

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240930000898 MA Practitioner - Physical Therapist in Private Practice 3870024003 Reassigns benefits to 2 organizations

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
Silver Fern Practice LLCGroup PAC ID 1658266515, 297 clinicians
Joint Ventures Physical Therapy IncGroup PAC ID 2163474560, 62 clinicians

Practice addresses (Care Compare)

115 Norwood Park S
Norwood, MA 02062-4633
Phone (781) 702-4630

648 Beacon St
Boston, MA 02215-2013
Phone 61753611611

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL27905MAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Joint Ventures Physical Therapy, Inc. Orthopedic CurrentSince Sep 23, 2024 Accepting new patients
Joint Ventures Physical Therapy, Inc. CurrentSince Sep 23, 2024 Accepting new patients
Silver Fern Practice, LLC CurrentSince Jan 1, 2026 Accepting new patients
Silver Fern Practice, LLC Orthopedic CurrentSince Jan 1, 2026 Accepting new patients

Locations

1395 Commerce Way
Ste 112
Attleboro, MA 02703
Phone (508) 455-5740

660 Beacon St
Boston, MA 02215
Phone (617) 536-1160

648 Beacon St
Boston, MA 02215
Phone (617) 353-9345

115 Norwood Park S
Norwood, MA 02062
Phone (781) 349-5181

4 Richmond Sq
Providence, RI 02906
Phone (401) 885-2821

4 Richmond Sq
Ste 200
Providence, RI 02906

Organizations & group practices 4

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": "1726185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1588490718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 RICHMOND SQ",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029065117",
            "telephone_number": "401-433-4172",
            "fax_number": "401-433-0612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 BEACON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022152002",
            "telephone_number": "617-536-1160",
            "fax_number": "844-283-4933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMIBEPPU",
        "first_name": "MEGUMI",
        "middle_name": "ELSPETH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-13",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MA",
            "license": "PTL27905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.