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

Mrs. Kelly Nickerson, PT

Individual provider Physical Therapist · NPI 1437276284

Mrs. Kelly Nickerson, PT is a Physical Therapist in Private Practice in Westborough, Massachusetts. Qualified in 2004, 22 years ago. Practices with Performance Rehabilitation of Western New England LLC, a 201-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
22
Licensed in
MA
In the registry since
2007
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

24 Lyman St Ste 120
Westborough, MA 01581-1482
Phone: (508) 393-0306
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 17051 (MA)

Record details

NPI number1437276284
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedMarch 26, 2007
Last updated in NPPESJuly 12, 2024
Certification dateJuly 12, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Performance Rehabilitation Of Western New England Llc — 201 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Westborough