Individual provider Active NPI

Kyle Contreras, DPT, CSCS

  • Physical Therapist
  • Harvard, MA
National Provider Identifier
1609512755
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
26098 Issued in MA
Practice address
325 Ayer Rd
Harvard, MA 01451-1132
Phone
(978) 396-4100
NPI assigned
May 11, 2022
Last updated
May 11, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2022

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 26098 MA Primary

Addresses

Primary practice location

325 Ayer Rd
Harvard, MA 01451-1132

Mailing address

121 Revolution Dr
Leominster, MA 01453-2565
Phone (914) 907-7066

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220621002275 MA Practitioner - Physical Therapist in Private Practice 6103205232 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Connections Physical Therapy, Inc.Group PAC ID 3577456623, 88 clinicians

Practice addresses (Care Compare)

325 Ayer Rd
Harvard, MA 01451-1132
Phone (978) 772-8100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26098MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Connections Physical Therapy Inc Physical Therapist CurrentSince Mar 16, 2022 Accepting new patients
Connections Physical Therapy Inc Physical Therapist PastSince Apr 6, 2021 Accepting new patients

Locations

491 Main St
Ste C
Groton, MA 01450
Phone (512) 924-1329

325 Ayer Rd
Harvard, MA 01451
Phone (978) 772-2282

406R Washington St
Holliston, MA 01746
Phone (508) 429-4940

110 Cedar St
Wellesley Hills, MA 02481
Phone (781) 237-1769

110 Cedar St
Ste 100
Wellesley Hills, MA 02481
Phone (617) 921-4336

Organizations & group practices 2

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": "1652227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1609512755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 REVOLUTION DR",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014532565",
            "telephone_number": "914-907-7066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 AYER RD",
            "city": "HARVARD",
            "state": "MA",
            "postal_code": "014511132",
            "telephone_number": "978-396-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONTRERAS",
        "first_name": "KYLE",
        "credential": "DPT, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-11",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "26098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harvard, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.