Joshua Kilmonis, DPT
Individual provider Active NPI Physical Therapist · Leicester, MA
NPI 1962013490 · NPPES record last updated Aug 10, 2020
Key facts
- NPI
- 1962013490
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 25010 (MA)
- Practice address
- 1037 Main St
Leicester, MA 01524-1313 - Phone
- (508) 892-1335
- Fax
- (508) 892-1782
- NPI assigned
- Aug 10, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bay State Physical Therapy of Randolph Inc
Practice addresses (Care Compare)
1037 Main St
Leicester, MA 01524-1313
Phone (508) 892-1335
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200820001251 | MA | Practitioner - Physical Therapist in Private Practice | 4880010800 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25010 | MA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay State Physical Therapy of Randolph Inc | Physical Therapist | Current |
Accepting new patients |
| Bay State Physical Therapy of Randolph Inc | Physical Therapist | Current |
Accepting new patients |
Locations
1 Pearl St
Ste 1700
Brockton, MA 02301
Phone (508) 427-0525
1037 Main St
Leicester, MA 01524
Phone (508) 892-1335
1343 Providence Hwy
Norwood, MA 02062
Phone (781) 702-1339
1 Credit Union Way
Fl 3
Randolph, MA 02368
Phone 7819613370225
1054 County St
Somerset, MA 02726
Phone (508) 674-3340
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 25010 | MA | Yes |
Addresses
Primary practice location
1037 Main St
Leicester, MA 01524-1313
Mailing address
1 Credit Union Way FL 3
Randolph, MA 02368-4633
Phone (781) 961-3370
Other providers in Leicester, MA
- Kelley Alyssa Hall
- Amy L Heath
- Katherine Howard
- J and O Counseling LLC
- Staci Lyn Jackson
- Alix Lane
- Brenda Virginia Larow
- Ann Layden
- Leicester Dental Associates
- Leicester Public Schools
All providers in Leicester, MA · Physical Therapist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.