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

Kelsey Hanahan, DPT

Individual provider Physical Therapist · NPI 1538760913

Kelsey Hanahan, DPT is a Physical Therapist in Private Practice in South Boston, Massachusetts. Qualified in 2020, 6 years ago. Practices with Bay State Physical Therapy of Randolph Inc, a 443-clinician group and accepts Medicare assignment. Licensed in Arizona and Massachusetts.

Years since qualifying
6
Licensed in
AZ, MA
In the registry since
2020
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

386 W Broadway Fl 1
South Boston, MA 02127-2215
Phone: (617) 752-4672
Fax: (617) 752-4643
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 24991 (MA)
Physical Therapist Taxonomy 225100000X · Licence LPT-33195 (AZ)

Record details

NPI number1538760913
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedNovember 3, 2020
Last updated in NPPESJanuary 9, 2025
Certification dateJanuary 9, 2025
Mailing address60 Tassi Dr, Marlborough, MA 01752-2173

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Bay State Physical Therapy Of Randolph Inc — 443 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in South Boston