Active NPI
Kelly Corrado, DPT
- Physical Therapist
- Bedford, MA
National Provider Identifier
1770185241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 25261
- Practice address
- 191 Hartwell Rd
Bedford, MA 01730-2425 - Phone
- (781) 275-4111
- NPI assigned
- Nov 10, 2020
- 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 | 25261 | MA | Primary |
Addresses
Primary practice location
191 Hartwell Rd
Bedford, MA 01730-2425
Mailing address
411 Mass Ave Ste 302
Acton, MA 01720-3739
Phone (978) 263-0007
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, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
275 Mystic Ave
Suite C
Medford, MA 02155-6301
Phone (781) 572-2965
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Achieve Physical Therapy, PC | Physical Therapist | 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
- Medford, MA
- NPI 1114315579
-
- Physical Therapist
- Syracuse, NY
- NPI 1790778983
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604966400000",
"number": "1770185241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 MASS AVE STE 302",
"city": "ACTON",
"state": "MA",
"postal_code": "017203739",
"telephone_number": "978-263-0007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "191 HARTWELL RD",
"city": "BEDFORD",
"state": "MA",
"postal_code": "017302425",
"telephone_number": "781-275-4111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORRADO",
"first_name": "KELLY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-10",
"last_updated": "2020-11-10",
"certification_date": "2020-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "25261",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bedford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; 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.