Active NPI
Kimberley Anne Chula-Maguire, DPT
- Physical Therapist
- Smithfield, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT02404
- Practice address
- 41 Sanderson Road
Suite 101
Smithfield, RI 02917-2611 - Phone
- (401) 475-5775
- NPI assigned
- Aug 10, 2011
- Last updated
- May 21, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, RI
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 02404 | RI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay State Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| Fox Rehab Ma LLC | Physical Therapist | Current | Accepting new patients |
| Evolve Physical Therapy, LLC | Current | Accepting new patients | |
| Silver Fern Practice, LLC | Physical Therapist | Past | 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.
-
- Physical Therapist
- Waltham, MA
- NPI 1497174437
-
- Physical Therapy Clinic/Center
- Cumberland, RI
- NPI 1497222749
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.