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

Carly Theriault, DPT

Individual provider Physical Therapist · NPI 1861091613

Carly Theriault, DPT is a Physical Therapist in Waltham, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2020.

Licensed in
MA
In the registry since
2020
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

425 Waverly Oaks Rd
Waltham, MA 02452-0000
Phone: (781) 373-3620
Fax: (781) 373-3953
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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 24330 (MA)

Record details

NPI number1861091613
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedOctober 22, 2020
Last updated in NPPESOctober 22, 2020
Certification dateOctober 21, 2020
Mailing address703 Granite St Ste 3, Braintree, MA 02184-5350

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