Kristin Lee Moynihan, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

009058 Issued in CT

Practice address

12 Bokum Rd
Essex, CT 06426-1500

Phone

(860) 767-9053

Fax

(860) 767-1146

NPI assigned

Jun 23, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Byron V Hartunian MD PC

  • Specialist
  • Cambridge, MA
  • NPI 1568554475
  NPD (past)
• McGovern Physical Therapy Associates LLC

  • Physical Therapy Clinic/Center
  • Malden, MA
  • NPI 1043200330

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308787200000",
    "number": "1184910572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 GREAT HILL POND RD",
            "city": "PORTLAND",
            "state": "CT",
            "postal_code": "064801315",
            "telephone_number": "508-414-1868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 BOKUM RD",
            "city": "ESSEX",
            "state": "CT",
            "postal_code": "064261500",
            "telephone_number": "860-767-9053",
            "fax_number": "860-767-1146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOYNIHAN",
        "first_name": "KRISTIN",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-23",
        "last_updated": "2011-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "009058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mobility Works LLC
• Mobility Works LLC
• Mobility Works LLC
• Hanna Jacquelyn Moore, BS
• Michele Ann Moy, DPT
• Christian Mularski
• Jean Mulvihill
• Elizabeth K. Nelligan, M.D.
• Cynthia Nereo, LCSW
• New England Wellness Center LLC

• Physical Therapist in Essex, CT
• Providers in Essex, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.