Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Anita Phan, DPT

Individual provider Physical Therapist · NPI 1891550596

Anita Phan, DPT is a Physical Therapist in Private Practice in Kingston, Massachusetts. Qualified in 2023, 3 years ago. Practices with Bay State Physical Therapy of Randolph Inc, a 443-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
3
Licensed in
MA
In the registry since
2024
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

186 Summer St
Kingston, MA 02364-1282
Phone: (781) 585-8588
Fax: (781) 585-1279
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PTL27396 (MA)

Record details

NPI number1891550596
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedFebruary 21, 2024
Last updated in NPPESFebruary 21, 2024
Certification dateFebruary 21, 2024
Mailing address703 Granite St Ste 3, Braintree, MA 02184-5350

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Bay State Physical Therapy Of Randolph Inc — 443 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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