Active NPI
Kevin J McGovern, PT, DPT, CSCS
- Orthopedic Physical Therapist
- Acton, MA
National Provider Identifier
1750508016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 9964
- Practice address
- Perfect Motion Sports Therapy
485 Great Road
Acton, MA 01720 - Phone
- (978) 651-1812
- NPI assigned
- Apr 19, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 9964 | MA | Primary |
Addresses
Primary practice location
Perfect Motion Sports Therapy
485 Great Road
Acton, MA 01720
Mailing address
385 Broadway
Suite 205
Revere, MA 02151-3033
Phone (781) 485-1001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0327328 | Medicaid | MA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9964 | MA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Perfect Motion Sports Therapy, LLC | Current | Accepting new patients | |
| Byron V Hartunian MD PC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Physical Therapist
- Norwood, MA
- NPI 1922572296
-
- Specialist
- Cambridge, MA
- NPI 1568554475
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599696000000",
"number": "1750508016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "385 BROADWAY",
"address_2": "SUITE 205",
"city": "REVERE",
"state": "MA",
"postal_code": "021513033",
"telephone_number": "781-485-1001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PERFECT MOTION SPORTS THERAPY",
"address_2": "485 GREAT ROAD",
"city": "ACTON",
"state": "MA",
"postal_code": "01720",
"telephone_number": "978-651-1812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGOVERN",
"first_name": "KEVIN",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "PT, DPT, CSCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-19",
"last_updated": "2020-09-10",
"certification_date": "2020-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "MA",
"license": "9964",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0327328",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Acton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.