Individual provider Active NPI

Katherine L Chelotti, DPT

  • Physical Therapist
  • Foxboro, MA
National Provider Identifier
1619312667
Registry record updated May 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
19804 Issued in MA
Practice address
67 Mechanic St
Foxboro, MA 02035-2012
Phone
(508) 203-9350
Fax
(508) 203-9355
NPI assigned
May 3, 2013
Last updated
May 3, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2013

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 19804 MA Primary

Addresses

Primary practice location

67 Mechanic St
Foxboro, MA 02035-2012

Mailing address

535 S Main St
Randolph, MA 02368-5261
Phone (781) 961-3370

Other names 1

  • Katherine L Kirshe Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130715000125 MA Practitioner - Physical Therapist in Private Practice 1557501640 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Group practices
Sports and Wellness Physical Therapy LLCGroup PAC ID 9830361245, 5 clinicians

Practice addresses (Care Compare)

800 Chestnut St
Franklin, MA 02038-1271
Phone (508) 528-5723

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sports & Wellness Physical Therapy LLC Physical Therapist CurrentSince Nov 15, 2017 Accepting new patients

Locations

800 Chestnut St
Franklin, MA 02038
Phone (508) 528-5723

Organizations & group practices 1

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": "1367539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367539200000",
    "number": "1619312667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 S MAIN ST",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023685261",
            "telephone_number": "781-961-3370",
            "fax_number": "781-767-7531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 MECHANIC ST",
            "city": "FOXBORO",
            "state": "MA",
            "postal_code": "020352012",
            "telephone_number": "508-203-9350",
            "fax_number": "508-203-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHELOTTI",
        "first_name": "KATHERINE",
        "middle_name": "L",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-03",
        "last_updated": "2013-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "19804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "KIRSHE",
            "middle_name": "L",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Foxboro, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2013; 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.