Timothy Campbell Kiley

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

17617 Issued in MA

Practice address

377 W Broadway
South Boston, MA 02127-2217

Phone

(617) 752-4672

Fax

(617) 752-4643

NPI assigned

Feb 1, 2008

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DG Physical Therapy PCGroup PAC ID 0143503680, 42 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• DG Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Chelmsford, MA
  • NPI 1295279198

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Concierge Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Sutton, MA
  • NPI 1164935862
  Medicare reassignment NPD
• DG Physical Therapy, P.C.

  • Physical Therapy Clinic/Center
  • North Grafton, MA
  • NPI 1881270544
  NPD
• Bodyworks Physical Therapy Management, Inc

  • Physical Therapist
  • Lowell, MA
  • NPI 1396722690
  NPD (past)

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

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493164800000",
    "number": "1245418235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CREDIT UNION WAY",
            "address_2": "FL. 3",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023684633",
            "telephone_number": "781-961-3370",
            "fax_number": "781-961-1291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 W BROADWAY",
            "city": "SOUTH BOSTON",
            "state": "MA",
            "postal_code": "021272217",
            "telephone_number": "617-752-4672",
            "fax_number": "617-752-4643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILEY",
        "first_name": "TIMOTHY",
        "middle_name": "CAMPBELL",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-01",
        "last_updated": "2017-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "17617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110087951A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Elizabeth Kelleher, LICSW
• Alice Anderson Kenney
• Kristen Keough, BSN, RN
• Khaira Psychiatry, PLLC
• Simreet Khaira
• Brianna N Kimick
• Kimberly Joan Kipp, RN
• Brendan Kirck
• Olivia Lauren Klenert, NP
• Eva Marie Kolman, OT

• Physical Therapist in South Boston, MA
• Providers in South Boston, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2017; 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.