Nicholas Kirkham, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

25682 Issued in MA

Practice address

395 Mass Ave
Acton, MA 01720-3733

Phone

(978) 263-0007

Fax

(978) 263-0014

NPI assigned

Aug 26, 2021

Sex

Male

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.

• Achieve Physical Therapy, PC

  • Physical Therapist
  • Syracuse, NY
  • NPI 1790778983
  NPD (past)

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

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1215604228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 MASS AVE STE 302",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017203739",
            "telephone_number": "978-263-0007",
            "fax_number": "978-263-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 MASS AVE",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017203733",
            "telephone_number": "978-263-0007",
            "fax_number": "978-263-0014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "191 Hartwell Rd",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "MA",
            "postal_code": "017302425",
            "country_code": "US",
            "telephone_number": "978-263-0007",
            "fax_number": "978-263-0014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRKHAM",
        "first_name": "NICHOLAS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-26",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "25682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Keen
• Kristin Elizabeth Kemos, H.I.S.
• Melanie Kern, PT
• Nancy F Kessler, PT
• Gina Mary King, LICSW
• Kelli Lynne Kirshtein, MSW
• Natalie Kiseleva, DMD
• Wendy Rebecca Klein, LMFT
• Edwin Brooke Knights, MD
• Shahn Elizabeth Knights, LICSW

• Physical Therapist in Acton, MA
• Providers in Acton, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; 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.