Active NPIIndividual provider

Jimmy Kakouris, PT, DPT CSCS

Physical Therapist in Boylston, Massachusetts

NPI Number1306057146
Practice location
81 Shrewsbury St Ste 1, Boylston, MA 01505-1701
Fax
774-614-1171
Last updated
August 20, 2026

Jimmy Kakouris is a Physical Therapist based in Boylston, MA. Jimmy Kakouris practices in Boylston, MA and has the professional credentials of PT, DPT CSCS. The NPI Number for Jimmy Kakouris is 1306057146 and holds a License No. 18231 (MA). The current practice location address for Jimmy Kakouris is 81 Shrewsbury St Ste 1, Boylston, MA 01505-1701 and can be reached out via phone at 774-614-1322 and via fax at 774-614-1171.

Provider Profile Details

NPI Number
1306057146
Provider Name
Jimmy Kakouris
Credential
PT, DPT CSCS
Provider Entity Type
Individual
Gender
Male
Address
81 Shrewsbury St Ste 1, Boylston, MA 01505-1701
Phone Number
774-614-1322
Fax Number
774-614-1171
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
May 24, 2007
Last Update Date
August 20, 2026
Certification Date
August 20, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
81 Shrewsbury St Ste 1
Boylston, MA 01505-1701
Zip
01505-1701
Phone Number
774-614-1322
Fax Number
774-614-1171
Boylston, MA 01505Get directions →

Provider Business Mailing Address Details

Address
Po Box 1110
Boylston, MA 01505-1810
City
Boylston
State
MA
Zip
01505-1810
Phone Number
774-614-1322
Fax Number
774-614-1171

License Information

License Number
18231
License State
MA
Taxonomy
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jimmy Kakouris, PT, DPT CSCS?

The NPI number of Jimmy Kakouris, PT, DPT CSCS is 1306057146. It was assigned on May 24, 2007 and is currently active in the NPPES registry.

What is the specialty of Jimmy Kakouris, PT, DPT CSCS?

Jimmy Kakouris, PT, DPT CSCS is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in MA under license number 18231.

Where does Jimmy Kakouris, PT, DPT CSCS practice?

The practice location is 81 Shrewsbury St Ste 1, Boylston, MA 01505-1701. The office can be reached at 774-614-1322 (phone) or 774-614-1171 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1306057146 directly on the NPPES registry website.

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