Active NPI
Kristen Davis, DPT
- Physical Therapist
- Boston, MA
National Provider Identifier
1912772815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTL27005
- Practice address
- 1 Braintree St
Boston, MA 02134-1602 - Phone
- (617) 787-8700
- Fax
- (617) 787-8106
- NPI assigned
- Nov 20, 2023
- 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 | PTL27005 | MA | Primary |
Addresses
Primary practice location
1 Braintree St
Boston, MA 02134-1602
Mailing address
PO Box 322
Boston, MA 02134-0003
Phone (617) 787-8700
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, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Braintree St
Allston, MA 02134-1602
Phone (617) 787-8700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTL27005 | MA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boston Sports Medicine Inc | Physical Therapist | Current | Accepting new patients |
Locations
1 Braintree St
Boston, MA 02134
Phone (617) 787-8700
442 Cambridge St
Boston, MA 02134
Phone (617) 787-8700
14 McGrath Hwy
Somerville, MA 02143
Phone (617) 623-4500
Interoperability endpoints
- https://api.platform.athenahealth.com/11813/brand/1/csg/1/fhir/r4
Organizations & group practices 1
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
- Allston, MA
- NPI 1245217546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700438400000",
"number": "1912772815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 322",
"city": "BOSTON",
"state": "MA",
"postal_code": "021340003",
"telephone_number": "617-787-8700",
"fax_number": "617-787-8106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BRAINTREE ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021341602",
"telephone_number": "617-787-8700",
"fax_number": "617-787-8106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "KRISTEN",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-20",
"last_updated": "2023-11-20",
"certification_date": "2023-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "PTL27005",
"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 20, 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.