Individual provider Active NPI

Mary Kerrigan, PT

  • Physical Therapist
  • North Dighton, MA
National Provider Identifier
1275917643
Registry record updated Jul 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4058 Issued in MA
Practice address
600 Old Somerset Ave
North Dighton, MA 02764-1824
Phone
(508) 822-1135
Fax
(508) 822-4115
NPI assigned
Jul 16, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2015

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 4058 MA Primary

Addresses

Primary practice location

600 Old Somerset Ave
North Dighton, MA 02764-1824

Mailing address

1339 Bay St
Taunton, MA 02780-1087
Phone (508) 386-0836

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150904000029 MA Practitioner - Physical Therapist in Private Practice 3375859473 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hodgson Enterprises IncGroup PAC ID 6800015413, 3 clinicians

Practice addresses (Care Compare)

600 Old Somerset Ave
Unit 2
North Dighton, MA 02764-1867
Phone (508) 822-1135

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4058MAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Hodgson Enterprises Inc. Physical Therapist CurrentSince Aug 10, 2015 Accepting new patients
Valerie Hodgson Physical Therapist PastSince Aug 10, 2015 Accepting new patients

Locations

600 Old Somerset Ave
Unit 2
North Dighton, MA 02764
Phone (508) 822-1135

Organizations & group practices 2

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": "1437004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437004800000",
    "number": "1275917643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1339 BAY ST",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027801087",
            "telephone_number": "508-386-0836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 OLD SOMERSET AVE",
            "city": "NORTH DIGHTON",
            "state": "MA",
            "postal_code": "027641824",
            "telephone_number": "508-822-1135",
            "fax_number": "508-822-4115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERRIGAN",
        "first_name": "MARY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-16",
        "last_updated": "2015-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "4058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Dighton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; 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.