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

Nikki Takemori, DPT, PT

Individual provider Physical Therapist · NPI 1992304786

Nikki Takemori, DPT, PT is a Physical Therapist in Private Practice in Somerville, Massachusetts. Qualified in 2020, 6 years ago. Practices with Performance Rehabilitation of Western New England LLC, a 201-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
6
Licensed in
MA
In the registry since
2020
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

14 McGrath Hwy Unit 5
Somerville, MA 02143-4505
Phone: (617) 284-9418
Fax: (617) 702-9500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 165 Main St Unit 209, Medway, MA 02053-1584 — (508) 533-5778

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 24986 (MA)

Record details

NPI number1992304786
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT , PT
Sole proprietorNo
NPI enumeratedOctober 22, 2020
Last updated in NPPESJanuary 23, 2023
Certification dateJanuary 23, 2023
Mailing address790 Remington Blvd, Bolingbrook, IL 60440-4909

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 Performance Rehabilitation Of Western New England Llc — 201 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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