Ken Harvey
Individual provider Active NPI Athletic Trainer · Foxborough, MA
NPI 1154073450 · NPPES record last updated Jan 19, 2022
Key facts
- NPI
- 1154073450
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 3608 (MA)
- Practice address
- 240 Patriot PL
Foxborough, MA 02035-5100 - Phone
- (508) 543-4900
- NPI assigned
- Jan 19, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3608 | MA | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TB12 LLC | Athletic Trainer | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 3608 | MA | Yes |
Addresses
Primary practice location
240 Patriot PL
Foxborough, MA 02035-5100
Mailing address
53 Burnt Swamp Rd
Wrentham, MA 02093-1737
Phone (774) 307-3175
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | Swol123.net |
Other providers in Foxborough, MA
- Nolan Hanrahan
- Julianna Harder
- Ted Ryan Harper
- Robin Harris
- Timothy Harrold
- Rebecca Hastings
- Melissa Anne Hathaway
- Heal Within Therapy LLC
- Rian Healy
- Sierra Mikaila Hinthorne
All providers in Foxborough, MA · Athletic Trainer in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 19, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.