Kaitlyn Amy Erisman, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

20299 Issued in MA

Practice address

16D Macys LN
Nantucket, MA 02554-2831

Phone

(508) 228-8122

NPI assigned

Nov 19, 2012

Last updated

Jan 13, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Kaitlyn Erisman Physical Therapy LLC

  • Physical Therapist
  • Nantucket, MA
  • NPI 1750095741
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1353283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1841534500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 WALL ST",
            "city": "NANTUCKET",
            "state": "MA",
            "postal_code": "025544352",
            "telephone_number": "508-221-7028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16D MACYS LN",
            "city": "NANTUCKET",
            "state": "MA",
            "postal_code": "025542831",
            "telephone_number": "508-228-8122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERISMAN",
        "first_name": "KAITLYN",
        "middle_name": "AMY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-19",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "20299",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MA",
            "license": "20299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Dunn
• Dupont Physical Therapy PC
• Betty K Dupont, PT
• Peter Duquette, CRNA
• Stacey Leah Dutra, MSW
• Darcie Linn Evans, LICSW
• Karen J. Eveleth
• Kelly Ann Facteau, PT
• Fairwinds-Nantucket's Counseling Center, Inc
• Fairwinds-Nantuckets Counseling Center

• Orthopedic Physical Therapist in Nantucket, MA
• Providers in Nantucket, MA by specialty
• Orthopedic Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.