MEDICARE: KYLE ASHWORTH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	25581	MA

General Provider Information

NPI Number	:	1710653621
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KYLE ASHWORTH

Provider Business Mailing Address
First Line	:	600 TRAPELO RD APT 9
Second Line	:
City	:	WALTHAM
State	:	MA
Zip	:	02452-7996
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1620 BEACON ST
Second Line	:
City	:	BROOKLINE
State	:	MA
Zip	:	02446-2270
Country	:	US
Telephone Number	:	617-505-6742
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/19/2021
Last Update Date	:	08/05/2024

Similar Medicare Providers

1124974548 — HANNAH DIKE PT, DPT
Practice Location Address:

1620 BEACON ST
BROOKLINE, MA
02446-2270

Practice Phone: 617-505-6742
Practice Fax:

1700210812 — JUSTINE FAZIO PAULA DC
Practice Location Address:

1620 BEACON ST
BROOKLINE, MA
02446-2270

Practice Phone: 617-505-6742
Practice Fax: 617-505-6769

1205619269 — ADAM LIPTAK DPT
Practice Location Address:

1620 BEACON ST
BROOKLINE, MA
02446-2270

Practice Phone: 617-505-6742
Practice Fax:

1982413878 — HALEY ROBIN SHERRARD DC
Practice Location Address:

1620 BEACON ST
BROOKLINE, MA
02446-2270

Practice Phone: 617-505-6742
Practice Fax:

1699621904 — DIANA LI DMD PLLC
Practice Location Address:

1035 BEACON ST
BROOKLINE, MA
02446-5655

Practice Phone: 617-412-5477
Practice Fax:

1568164424 — SHANNON FERNANDEZ-LEDON
Practice Location Address:

637 WASHINGTON ST STE 202
BROOKLINE, MA
02446-4579

Practice Phone: 617-232-2811
Practice Fax:

Directions to “ KYLE ASHWORTH ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.