Active NPI
Kerri McDonald, M.S.P.T.
- Physical Therapist
- West Bridgewater, MA
National Provider Identifier
1194912303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 15246
- Practice address
- 322 E Center St
West Bridgewater, MA 02379-1824 - Phone
- (508) 565-5070
- NPI assigned
- Oct 2, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 15246 | MA | Primary |
Addresses
Primary practice location
322 E Center St
West Bridgewater, MA 02379-1824
Mailing address
322 E Center St
West Bridgewater, MA 02379-1824
Phone (508) 559-0993
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 496844 | Other | MA | TUFTS |
| 0323519 | Medicaid | MA | |
| Y68737 | Other | MA | BLUECROSS BLUESHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15246 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211414400000",
"number": "1194912303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "322 E CENTER ST",
"city": "WEST BRIDGEWATER",
"state": "MA",
"postal_code": "023791824",
"telephone_number": "508-559-0993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "322 E CENTER ST",
"city": "WEST BRIDGEWATER",
"state": "MA",
"postal_code": "023791824",
"telephone_number": "508-565-5070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "KERRI",
"credential": "M.S.P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-02",
"last_updated": "2008-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "15246",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "496844",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0323519",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "Y68737",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Bridgewater, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.