Individual provider Active NPI

Luke Vitale, PT, DPT

  • Physical Therapist
  • Newton, MA
National Provider Identifier
1790526689
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL88825 Issued in MA
Practice address
244 Needham St
Newton, MA 02464-1595
Phone
(617) 641-6700
NPI assigned
Jun 4, 2024
Last updated
Aug 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305216463 VA
Physical Therapist 225100000X 307486 CA
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PTL88825 MA Primary
Physical Therapist 225100000X P23239 NC

Addresses

Primary practice location

244 Needham St
Newton, MA 02464-1595

Mailing address

271 Hillcrest Rd
Fairfield, CT 06824-5112
Phone (203) 913-1348

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250910001867 MA Practitioner - Physical Therapist in Private Practice 5395248033 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Duke University School of Medicine, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

244 Needham St
Newton, MA 02464-1595

271 Hillcrest Rd
Fairfield, CT 06824-5112

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
307486CAMDPhysical Therapist
PTL88825MAMDPhysical Therapist
P23239NCMDPhysical Therapist
2305216463VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Paramount Performance and Rehab Inc Physical Therapist CurrentSince Aug 20, 2025 Accepting new patients
Advanced Kinetics Physical Therapy PastSince Jun 1, 2024 Accepting new patients

Locations

244 Needham St
Newton Upper Falls, MA 02464
Phone (617) 641-6700

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, 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": "1717459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1790526689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 HILLCREST RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245112",
            "telephone_number": "203-913-1348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 NEEDHAM ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024641595",
            "telephone_number": "617-641-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITALE",
        "first_name": "LUKE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-04",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305216463",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "307486",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "PTL88825",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P23239",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.

Verify at the official NPI Registry.