Individual provider Active NPI

Kelly Duggan

  • Physical Therapist
  • Bridgewater, MA
National Provider Identifier
1205277308
Registry record updated May 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
18563 Issued in MA
Practice address
985 Pleasant St
Unit 2
Bridgewater, MA 02324-2329
Phone
(508) 697-2000
Fax
(508) 697-2002
NPI assigned
Jul 17, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2016

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 18563 MA Primary

Addresses

Primary practice location

985 Pleasant St
Unit 2
Bridgewater, MA 02324-2329

Mailing address

985 Pleasant St
Unit 2
Bridgewater, MA 02324-2329
Phone (508) 697-2000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130829000331 MA Practitioner - Physical Therapist in Private Practice 6002059672 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18563MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Fern Practice, LLC Physical Therapist CurrentSince Mar 1, 2016 Accepting new patients
Silver Fern Practice, LLC Physical Therapist CurrentSince Jan 1, 2026 Accepting new patients
Silver Fern Practice, LLC Physical Therapist CurrentSince Jan 1, 2026 Accepting new patients

Locations

1395 Commerce Way
Ste 112
Attleboro, MA 02703
Phone (508) 455-5740

501 John Mahar Hwy
Ste 200
Braintree, MA 02184
Phone (781) 384-0500

501 John Mahar Hwy
Ste 100
Braintree, MA 02184
Phone (781) 214-1717

985 Pleasant St
Ste 2
Bridgewater, MA 02324
Phone (508) 697-2000

75 Scotland Blvd
#A
Bridgewater, MA 02324
Phone (508) 697-2000

75A Scotland Blvd
Bridgewater, MA 02324
Phone (508) 697-2000

85 Main St
Buzzards Bay, MA 02532
Phone (774) 247-4868

4 Richmond Sq
Ste 200
Providence, RI 02906

Organizations & group practices 3

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": "1374019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462752000000",
    "number": "1205277308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "985 PLEASANT ST",
            "address_2": "UNIT 2",
            "city": "BRIDGEWATER",
            "state": "MA",
            "postal_code": "023242329",
            "telephone_number": "508-697-2000",
            "fax_number": "508-697-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985 PLEASANT ST",
            "address_2": "UNIT 2",
            "city": "BRIDGEWATER",
            "state": "MA",
            "postal_code": "023242329",
            "telephone_number": "508-697-2000",
            "fax_number": "508-697-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUGGAN",
        "first_name": "KELLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-17",
        "last_updated": "2016-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "18563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgewater, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.