Individual provider Active NPI

Kimberley Danielle Sembrano, MSPT

  • Physical Therapist
  • Boston, MA
National Provider Identifier
1144468539
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
19791 Issued in MA
Practice address
30 Lancaster St Ste 100
Boston, MA 02114-1704
Phone
(617) 367-4700
Fax
(617) 367-4701
NPI assigned
Jan 23, 2009
Last updated
Jul 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 008464 CT
Physical Therapist 225100000X 19791 MA Primary

Addresses

Primary practice location

30 Lancaster St Ste 100
Boston, MA 02114-1704

Mailing address

200 Unicorn Park Dr
Ste 201
Woburn, MA 01801-3342
Phone (781) 782-1300

Other names 1

  • Kimberley Danielle Mauger Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150202000169 MA Practitioner - Physical Therapist in Private Practice 6305902107 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Excel Orthopaedic SpecialistsGroup PAC ID 0648241414, 46 clinicians

Practice addresses (Care Compare)

200 Unicorn Park Dr
Suite 201
Woburn, MA 01801-3342
Phone (781) 782-1300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Excel Orthopaedic Specialists CurrentSince Dec 10, 2018 Accepting new patients
Kennedy Brothers Physical Therapy Inc. Physical Therapist CurrentSince Jan 1, 2014 Accepting new patients
Excel Orthopaedic Specialists Inc Past Accepting new patients
Excel Orthopaedic Specialists Inc Physical Therapist Past Accepting new patients
Pinnacle Rehabilitation Network, LLC Physical Therapist PastSince Nov 9, 2025 Accepting new patients
Kennedy Brothers Physical Therapy Inc. Physical Therapist Past Accepting new patients
Comprehensive Physical Therpy PC Physical Therapist PastSince Oct 17, 2005 Accepting new patients

Locations

25 Braintree Hill Park
Ofc P
Braintree, MA 02184
Phone (781) 444-1614

15 Oak St
Ste 1
Needham, MA 02492
Phone (781) 444-1614

200 Unicorn Park Dr
Ste 201
Woburn, MA 01801
Phone (781) 782-1300

Organizations & group practices 7

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": "1232668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1144468539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 UNICORN PARK DR",
            "address_2": "STE 201",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018013342",
            "telephone_number": "781-782-1300",
            "fax_number": "781-782-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 LANCASTER ST STE 100",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021141704",
            "telephone_number": "617-367-4700",
            "fax_number": "617-367-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEMBRANO",
        "first_name": "KIMBERLEY",
        "middle_name": "DANIELLE",
        "name_prefix": "Ms.",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-23",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "008464",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "19791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLEY",
            "last_name": "MAUGER",
            "middle_name": "DANIELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; 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.