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

Dr. Trevor Kelly, DPT

Individual provider Physical Therapist · NPI 1336867183

Dr. Trevor Kelly, DPT is a Physical Therapist in Private Practice in Watertown, Massachusetts. Qualified in 2022, 4 years ago. Practices with Kennedy Brothers Physical Therapy Inc, a 6-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
4
Licensed in
MA
In the registry since
2022
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

85 Main St Ste 103
Watertown, MA 02472
Phone: (617) 924-5100
Fax: (617) 924-5199
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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 26323 (MA)

Record details

NPI number1336867183
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 18, 2022
Last updated in NPPESMarch 29, 2024
Certification dateAugust 16, 2022

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Kennedy Brothers Physical Therapy Inc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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