Active NPI
Kathleen Mary Barry, DPT
- Physical Therapist
- Wilmington, MA
National Provider Identifier
1629169586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4458
- Practice address
- 14 Powderhouse Cir
Wilmington, MA 01887-2741 - Phone
- (781) 942-1410
- Fax
- (781) 942-8748
- NPI assigned
- Sep 27, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 4458 | MA | Primary |
Addresses
Primary practice location
14 Powderhouse Cir
Wilmington, MA 01887-2741
Mailing address
14 Powderhouse Cir
Wilmington, MA 01887-2741
Phone (978) 658-4725
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 37079 | Other | MA | HPHC PROV. # |
| 0093905 | Other | MA | AETNA PROV. # |
| 765467 | Other | MA | TUFTS HEALTHCARE PROV. # |
| 687116 | Other | MA | UNITED HEALTHCARE |
| Y66314 | Other | MA | BCBS MA PROVIDER NUMBER |
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, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Wilmington, MA 01887
Phone (781) 942-1410
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4458 | MA | MD | Forensic Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy Services of Flatiron PC | Physical Therapist | Current | Accepting new patients |
Locations
101 Arch St
Fl 8
Boston, MA 02110
Phone (212) 287-4257
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 and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- New York, NY
- NPI 1134705676
MA, Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764028800000",
"number": "1629169586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 POWDERHOUSE CIR",
"city": "WILMINGTON",
"state": "MA",
"postal_code": "018872741",
"telephone_number": "978-658-4725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 POWDERHOUSE CIR",
"city": "WILMINGTON",
"state": "MA",
"postal_code": "018872741",
"telephone_number": "781-942-1410",
"fax_number": "781-942-8748"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRY",
"first_name": "KATHLEEN",
"middle_name": "MARY",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-27",
"last_updated": "2025-11-25",
"certification_date": "2025-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "4458",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HPHC PROV. #",
"identifier": "37079",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROV. #",
"identifier": "0093905",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTHCARE PROV. #",
"identifier": "765467",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "687116",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MA PROVIDER NUMBER",
"identifier": "Y66314",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.