Individual provider Active NPI

Andreamaria Kick, D.P.T.

  • Physical Therapist
  • Northborough, MA
National Provider Identifier
1164651766
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
28262 Issued in MA
Practice address
411 W Main St Ste 506
Northborough, MA 01532-2163
Phone
(508) 393-9000
NPI assigned
Jul 6, 2009
Last updated
Apr 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 28262 MA Primary

Addresses

Primary practice location

411 W Main St Ste 506
Northborough, MA 01532-2163

Mailing address

411 W Main St
Northborough, MA 01532-2163

Other names 1

  • Andreamaria Whitehorse Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250423003236 MA Practitioner - Physical Therapist in Private Practice 2163578626 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Flaherty Physical Therapy IncGroup PAC ID 6305141839, 14 clinicians

Practice addresses (Care Compare)

411 W Main St
Suite 3
Northborough, MA 01532-2163
Phone (508) 393-9000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28262MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Flaherty Physical Therapy, Inc. Physical Therapist CurrentSince Apr 14, 2025 Accepting new patients

Locations

43 Broad St
Hudson, MA 01749
Phone (508) 651-7500

411 W Main St
Ste 3
Northborough, MA 01532
Phone (508) 393-9000

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1246838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1164651766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 W MAIN ST",
            "city": "NORTHBOROUGH",
            "state": "MA",
            "postal_code": "015322163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 W MAIN ST STE 506",
            "city": "NORTHBOROUGH",
            "state": "MA",
            "postal_code": "015322163",
            "telephone_number": "508-393-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KICK",
        "first_name": "ANDREAMARIA",
        "name_prefix": "Ms.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-06",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "28262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREAMARIA",
            "last_name": "WHITEHORSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Northborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; 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.