Individual provider Active NPI

Kathleen M Muldowney, MSPT

  • Physical Therapist
  • Cranston, RI
National Provider Identifier
1194775007
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT01748 Issued in RI
Practice address
721 Reservoir Ave
Cranston, RI 02910-4430
Phone
(401) 946-4250
Fax
(401) 275-5645
NPI assigned
May 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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 PT01748 RI Primary

Addresses

Primary practice location

721 Reservoir Ave
Cranston, RI 02910-4430

Mailing address

721 Reservoir Ave
Cranston, RI 02910-4430
Phone (401) 946-4250

Other identifiers 1

IdentifierTypeStateIssuer
410137OtherRIBLUECHIP RI IND. ID#

Other names 1

  • Kathleen M Demling Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101221000043 RI Practitioner - Physical Therapist in Private Practice 0446448211 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Muldowney Physical Therapy, Inc.Group PAC ID 6901094770, 4 clinicians

Practice addresses (Care Compare)

667 Atwood Ave
Cranston, RI 02920-5322
Phone (401) 270-2211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT01748RIMDPhysical Therapist

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211241600000",
    "number": "1194775007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 RESERVOIR AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029104430",
            "telephone_number": "401-946-4250",
            "fax_number": "401-275-5645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 RESERVOIR AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029104430",
            "telephone_number": "401-946-4250",
            "fax_number": "401-275-5645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULDOWNEY",
        "first_name": "KATHLEEN",
        "middle_name": "M",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2008-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "PT01748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECHIP RI IND. ID#",
            "identifier": "410137",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "DEMLING",
            "middle_name": "M",
            "credential": "MSPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cranston, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.