Individual provider Active NPI

Kenneth Frederick Stokes, DPT

  • Specialist
  • Boston, MA
National Provider Identifier
1912235649
Registry record updated Nov 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
18828 Issued in MA
Practice address
653 Summer St
Floor 2
Boston, MA 02210-2108
Phone
(617) 269-6262
Fax
(617) 269-1068
NPI assigned
Nov 18, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 18828 MA Primary

Addresses

Primary practice location

653 Summer St
Floor 2
Boston, MA 02210-2108

Mailing address

653 Summer St
Floor 2
Boston, MA 02210-2108
Phone (617) 269-6262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, VT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20091231000155 MA Practitioner - Physical Therapist in Private Practice 6901947761 Reassigns benefits to 1 organization
I20161121001024 VT Practitioner - Physical Therapist in Private Practice 6901947761 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Rehabgym IncGroup PAC ID 5092619411, 23 clinicians

Practice addresses (Care Compare)

219 N Main St
Suite 103
Barre, VT 05641-4129
Phone (802) 479-4000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sports Medicine & Rehabilitation Therapy Inc CurrentSince Sep 30, 2014 Accepting new patients
The Rehabgym Inc CurrentSince Sep 8, 2016 Accepting new patients
Healthy Edge Physical Therapy, Inc. Past Accepting new patients
New Dimensions in Health, Inc. Past Accepting new patients
New Dimensions in Health, Inc. Specialist Past Accepting new patients

Locations

328 Main St
Reading, MA 01867
Phone (781) 324-0310

219 N Main St
Ste 103
Barre, VT 05641
Phone (802) 479-4000

30 Hawthorne St
#20
Williston, VT 05495
Phone (802) 873-6000

373 Blair Park Rd
Unit 100
Williston, VT 05495
Phone (802) 876-6000

Organizations & group practices 5

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": "1258502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258502400000",
    "number": "1912235649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 SUMMER ST",
            "address_2": "FLOOR 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022102108",
            "telephone_number": "617-269-6262",
            "fax_number": "617-269-1068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 SUMMER ST",
            "address_2": "FLOOR 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022102108",
            "telephone_number": "617-269-6262",
            "fax_number": "617-269-1068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOKES",
        "first_name": "KENNETH",
        "middle_name": "FREDERICK",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-18",
        "last_updated": "2009-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MA",
            "license": "18828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; 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.