Nikki Takemori, DPT, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

24986 Issued in MA

Practice address

14 McGrath Hwy Unit 5
Somerville, MA 02143-4505

Phone

(617) 284-9418

Fax

(617) 702-9500

NPI assigned

Oct 22, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

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)

Merit-based Incentive Payment System (MIPS)

Final score

85.19 of 100Reported as group

Quality

86.04

Improvement activities

40

Cost

76.23

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Performance Rehabilitation of Western New England LLC

  • Physical Therapist
  • West Springfield, MA
  • NPI 1710919063
  Medicare reassignment Care Compare group NPD
• Proex Physical Therapy, LLC

  • Physical Therapist
  • Woburn, MA
  • NPI 1831190453
  Medicare reassignment NPD
• Performance Rehabilitation of Western New England LLC

  • Durable Medical Equipment & Medical Supplies
  • Wilbraham, MA
  • NPI 1376140566

  Physical Therapist

  NPD
• Proex Physical Therapy, LLC

  • Occupational Therapist
  • Boston, MA
  • NPI 1508757956
  NPD
• Carl Gustafson LLC

  • Physical Therapist
  • Wellesley, MA
  • NPI 1356366082
  NPD (past)

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1992304786",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 MCGRATH HWY UNIT 5",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021434505",
            "telephone_number": "617-284-9418",
            "fax_number": "617-702-9500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "165 Main St Unit 209",
            "address_purpose": "LOCATION",
            "city": "Medway",
            "state": "MA",
            "postal_code": "020531584",
            "country_code": "US",
            "telephone_number": "508-533-5778",
            "fax_number": "508-533-5780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAKEMORI",
        "first_name": "NIKKI",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-22",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "24986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emilie Swenson
• Cleona Sylvain
• Monica E Tague, RN
• Daniel S Tahsoh
• Yucheng Tai
• Henry Talberth, DMD
• Angela Talkowski
• Mary Catherine Talmo, D.M.D
• Bianca Marina Tamburello, RDN
• Tandem Psychotherapy LLC

• Physical Therapist in Somerville, MA
• Providers in Somerville, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.