Khampasong Haleudeth
NPI 1992475081 · Physical Therapist · Medford, MA
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Khampasong Haleudeth is a Physical Therapist provider in Medford, MA (NPI 1992475081).
Provider details
- NPI number
- 1992475081
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 25676 (MA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-09-20
- Last updated
- 2021-09-20
- Certified
- 2021-09-20
Frequently asked questions
- What is Khampasong Haleudeth's NPI number?
- Khampasong Haleudeth's National Provider Identifier (NPI) is 1992475081, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Khampasong Haleudeth's specialty?
- Khampasong Haleudeth is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Khampasong Haleudeth located?
- Khampasong Haleudeth's practice location on file with NPPES is 275 Mystic Ave Ste C, Medford, MA 02155-6301.
- What is Khampasong Haleudeth's phone number?
- The practice phone number listed in the NPPES registry for Khampasong Haleudeth is (781) 874-9294.
- Does Khampasong Haleudeth accept Medicare?
- Khampasong Haleudeth is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Khampasong Haleudeth's NPI active?
- Yes — Khampasong Haleudeth's NPI (1992475081) is active in the NPPES registry as of the last update on 2021-09-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.