Active NPI
Kimberley Danielle Sembrano, MSPT
- Physical Therapist
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 19791
- 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, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excel Orthopaedic Specialists | Current | Accepting new patients | |
| Kennedy Brothers Physical Therapy Inc. | Physical Therapist | Current | 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 | Past | Accepting new patients |
| Kennedy Brothers Physical Therapy Inc. | Physical Therapist | Past | Accepting new patients |
| Comprehensive Physical Therpy PC | Physical Therapist | Past | 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.
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-
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- NPI 1104033836
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- Physical Therapist
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-
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- Watertown, MA
- NPI 1811063803
-
dba Blue Hills Physical Therapy
- Physical Therapist
- Braintree, MA
- NPI 1679582175
-
- Physical Therapist
- Manchester, CT
- NPI 1891732160
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.