Individual provider Active NPI

Kimberley Anne Chula-Maguire, DPT

  • Physical Therapist
  • Smithfield, RI
National Provider Identifier
1023397908
Registry record updated May 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT02404 Issued in NU
Practice address
41 Sanderson Road
Suite 101
Smithfield, RI 02917-2611
Phone
(401) 475-5775
NPI assigned
Aug 10, 2011
Last updated
May 21, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 02404 RI
Physical Therapist 225100000X PT02404 NU Primary
Physical Therapist 225100000X NU

Addresses

Primary practice location

41 Sanderson Road
Suite 101
Smithfield, RI 02917-2611

Mailing address

1525 Wampanoag Trail
Suite 205
East Providence, RI 02915-1038
Phone (401) 433-4049

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130322000095 MA Practitioner - Physical Therapist in Private Practice 1759555071 Reassigns benefits to 1 organization
I20231221000330 RI Practitioner - Physical Therapist in Private Practice 1759555071 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay State Physical Therapy PCGroup PAC ID 6305176850, 37 clinicians

Practice addresses (Care Compare)

401 Elmgrove Ave
Providence, RI 02906-3451
Phone (401) 490-9780

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
02404RIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bay State Physical Therapy PC Physical Therapist CurrentSince Dec 11, 2023 Accepting new patients
Fox Rehab Ma LLC Physical Therapist CurrentSince Apr 1, 2019 Accepting new patients
Evolve Physical Therapy, LLC Current Accepting new patients
Silver Fern Practice, LLC Physical Therapist PastSince Jul 8, 2013 Accepting new patients

Locations

703 Granite St
Ste 300
Braintree, MA 02184
Phone (603) 626-4205

303 Wyman St
Ste 300
Waltham, MA 02451
Phone (781) 330-0577

7 Carnegie Plz
Cherry Hill, NJ 08003

235 Plain St
Ste 307
Providence, RI 02905
Phone (401) 414-4601

401 Elmgrove Ave
Providence, RI 02906
Phone (401) 421-4111

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1312934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369094400000",
    "number": "1023397908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 WAMPANOAG TRAIL",
            "address_2": "SUITE 205",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029151038",
            "telephone_number": "401-433-4049",
            "fax_number": "401-433-0612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 SANDERSON ROAD",
            "address_2": "SUITE 101",
            "city": "SMITHFIELD",
            "state": "RI",
            "postal_code": "029172611",
            "telephone_number": "401-475-5775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHULA-MAGUIRE",
        "first_name": "KIMBERLEY",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-10",
        "last_updated": "2013-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "02404",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": "PT02404",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithfield, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.