Active NPI
Kelsey Dawn Gingras, DPT
- Physical Therapist
- Worcester, MA
National Provider Identifier
1639897572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 26319
- Practice address
- 239 Mill St Ste B
Worcester, MA 01602-3191 - Phone
- (508) 752-8466
- Fax
- (774) 243-6611
- NPI assigned
- Aug 17, 2022
- 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 | 26319 | MA | Primary |
Addresses
Primary practice location
239 Mill St Ste B
Worcester, MA 01602-3191
Mailing address
269 Partridge Hill Rd
Charlton, MA 01507-6707
Phone (508) 887-1851
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26319 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660780800000",
"number": "1639897572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "269 PARTRIDGE HILL RD",
"city": "CHARLTON",
"state": "MA",
"postal_code": "015076707",
"telephone_number": "508-887-1851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "239 MILL ST STE B",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016023191",
"telephone_number": "508-752-8466",
"fax_number": "774-243-6611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GINGRAS",
"first_name": "KELSEY",
"middle_name": "DAWN",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-17",
"last_updated": "2022-08-18",
"certification_date": "2022-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "26319",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.