Individual provider Active NPI

Kayla Wegener Roche, DPT

  • Physical Therapist
  • Sudbury, MA
National Provider Identifier
1902453350
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
24338 Issued in MA
Practice address
141 Boston Post Rd
Sudbury, MA 01776-2405
Phone
(978) 295-5306
Fax
(978) 440-8117
NPI assigned
Aug 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 24338 MA Primary

Addresses

Primary practice location

141 Boston Post Rd
Sudbury, MA 01776-2405

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2222

Other names 1

  • Kayla Anne Wegener Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190909001707 MA Practitioner - Physical Therapist in Private Practice 4082943550 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Performance Rehabilitation of Western New England LLCGroup PAC ID 7911979950, 201 clinicians

Practice addresses (Care Compare)

101 University Dr
Suite A6
Amherst, MA 01002-2385
Phone (413) 336-5703

1092 Lexington St
Waltham, MA 02452-7206
Phone (781) 906-8442

57 Bedford St
Suite 202
Lexington, MA 02420-4550
Phone (781) 541-5111

Merit-based Incentive Payment System (MIPS)

Final score
85.19 of 100Reported as group
Quality
86.04
Improvement activities
40
Cost
76.23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Rehabilitation of Western New England LLC Physical Therapist CurrentSince Aug 5, 2019 Accepting new patients
Performance Rehabilitation of Western New England LLC Physical Therapist CurrentSince Aug 5, 2019 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

33377 Collection Ctr Dr
Chicago, IL 60693
Phone (617) 284-9418

340 Great Rd
Acton, MA 01720
Phone (978) 287-6170

101 University Dr
Ste A6
Amherst, MA 01002
Phone (413) 336-5703

284 Trapelo Rd
Belmont, MA 02478
Phone (857) 626-3284

1661 Worcester Rd
Ste 105
Framingham, MA 01701
Phone (508) 626-2600

57 Bedford St
Ste 202
Lexington, MA 02420
Phone (781) 541-5111

4110 Mystic Valley Pkwy
Ste 12
Medford, MA 02155
Phone (781) 960-6030

947 Worcester St
Natick, MA 01760
Phone (508) 720-0258

188 Boston Rd
#B
North Billerica, MA 01862
Phone (978) 901-3513

240 Andover St
Unit F
Peabody, MA 01960
Phone (978) 817-3650

530 Boston Post Rd
Ste B
Sudbury, MA 01776
Phone (978) 639-4800

141 Boston Post Rd
Sudbury, MA 01776
Phone (781) 541-5111

1092 Lexington St
Waltham, MA 02452
Phone (781) 906-8442

2 Laurel Ave
Wellesley Hills, MA 02481
Phone (781) 237-5585

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.

NPI Registry JSON

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1902453350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2222",
            "fax_number": "630-759-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 BOSTON POST RD",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "017762405",
            "telephone_number": "978-295-5306",
            "fax_number": "978-440-8117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCHE",
        "first_name": "KAYLA",
        "middle_name": "WEGENER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-21",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "24338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLA",
            "last_name": "WEGENER",
            "middle_name": "ANNE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sudbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; 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.