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

Kanella Karatasakis

Individual provider Physical Therapist · NPI 1629247937

Kanella Karatasakis is a Physical Therapist in Private Practice in Boston, Massachusetts. Qualified in 2007, 19 years ago. Practices with Advanced Sports Therapy LLC, a 6-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
19
Licensed in
MA
In the registry since
2008
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Practice location Address checks out

260 Tremont St
Boston, MA 02116-5603
Phone: (617) 636-5175
Fax: (617) 636-5176
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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 18129 (MA)

Record details

NPI number1629247937
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 21, 2008
Last updated in NPPESJune 18, 2008
Mailing address260 Tremont St, Po Box 120008, Boston, MA 02116-5603

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Advanced Sports Therapy Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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