Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Kristin L. Tudisco, DPT

Individual provider Physical Therapist · NPI 1841517000

Dr. Kristin L. Tudisco, DPT is a Physical Therapist in Private Practice in Boston, Massachusetts. Qualified in 2009, 17 years ago. Practices with Outback Physical Therapy Inc, an 8-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
17
Licensed in
MA
In the registry since
2010
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

133 Brookline Ave
Boston, MA 02215-3904
Phone: (617) 421-1347
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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 19037 (MA)

Record details

NPI number1841517000
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorYes
NPI enumeratedApril 28, 2010
Last updated in NPPESApril 28, 2010

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Outback Physical Therapy Inc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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