Active NPI
Kristina A Fournier, DPT
- Physical Therapist
- Tewksbury, MA
National Provider Identifier
1043792484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 23100
- Practice address
- 600 Clark Rd
Tewksbury, MA 01876-1699 - Phone
- (978) 452-3453
- NPI assigned
- Sep 1, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 23100 | MA | Primary |
Addresses
Primary practice location
600 Clark Rd
Tewksbury, MA 01876-1699
Mailing address
19 Christopher Rd
Rowley, MA 01969
Phone (978) 500-0210
Other practice location 1
37 1/2 Forrester St B, Newburyport, MA 01950
Newburyport, MA 01950
Phone (978) 462-2700
Other practice location 2
145 Wardhill ave
Haverhill, MA 01835
Phone (978) 469-1425
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23100 | MA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walk Well Foot and Lower Extremity Rehabilitation LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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
- Beverly, MA
- NPI 1235370206
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599609600000",
"number": "1043792484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 CHRISTOPHER RD",
"city": "ROWLEY",
"state": "MA",
"postal_code": "01969",
"telephone_number": "978-500-0210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 CLARK RD",
"city": "TEWKSBURY",
"state": "MA",
"postal_code": "018761699",
"telephone_number": "978-452-3453"
}
],
"practiceLocations": [
{
"address_1": "37 1/2 Forrester St B, Newburyport, MA 01950",
"address_purpose": "LOCATION",
"city": "Newburyport",
"state": "MA",
"postal_code": "01950",
"country_code": "US",
"telephone_number": "978-462-2700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "145 Wardhill ave",
"address_purpose": "LOCATION",
"city": "Haverhill",
"state": "MA",
"postal_code": "01835",
"country_code": "US",
"telephone_number": "978-469-1425",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FOURNIER",
"first_name": "KRISTINA",
"middle_name": "A",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-01",
"last_updated": "2020-09-09",
"certification_date": "2020-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "23100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tewksbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.