Individual provider Active NPI

Kimberly Morgan

  • Physical Therapist
  • Northborough, MA
National Provider Identifier
1407527500
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
25003 Issued in MA
Practice address
411 W Main St Ste 3
Northborough, MA 01532-2163
Phone
(508) 393-9000
NPI assigned
Sep 28, 2021
Last updated
Sep 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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 25003 MA Primary

Addresses

Primary practice location

411 W Main St Ste 3
Northborough, MA 01532-2163

Mailing address

411 W Main St Ste 3
Northborough, MA 01532-2163
Phone (508) 393-9000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211004002175 MA Practitioner - Physical Therapist in Private Practice 8921406026 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Flaherty Physical Therapy IncGroup PAC ID 6305141839, 14 clinicians

Practice addresses (Care Compare)

411 W Main St
Suite 3
Northborough, MA 01532-2163
Phone (508) 393-9000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25003MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Flaherty Physical Therapy, Inc. Physical Therapist CurrentSince Sep 29, 2021 Accepting new patients

Locations

43 Broad St
Hudson, MA 01749
Phone (508) 651-7500

411 W Main St
Ste 3
Northborough, MA 01532
Phone (508) 393-9000

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1407527500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 W MAIN ST STE 3",
            "city": "NORTHBOROUGH",
            "state": "MA",
            "postal_code": "015322163",
            "telephone_number": "508-393-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 W MAIN ST STE 3",
            "city": "NORTHBOROUGH",
            "state": "MA",
            "postal_code": "015322163",
            "telephone_number": "508-393-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-28",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "25003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; 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.