Active NPI
Kimberly Ann Fitzpatrick, M.S., R.P.T.
- Physical Therapist
- Leeds, MA
National Provider Identifier
1437299039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11345
- Practice address
- 420 N Main St
Leeds, MA 01053-9714 - Phone
- (413) 584-4040
- NPI assigned
- Feb 6, 2007
- Last updated
- Apr 29, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11345 | MA | Primary |
Addresses
Primary practice location
420 N Main St
Leeds, MA 01053-9714
Mailing address
98 San Miguel St
Springfield, MA 01104-2938
Phone (413) 739-8599
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside Industries, Inc | Past | Accepting new patients | |
| Riverside Industries, Inc | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Developmentally Disabled Services Day Training Agency
- Easthampton, MA
- NPI 1174743207
-
- Developmentally Disabled Services Day Training Agency
- Easthampton, MA
- NPI 1497884035
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209427200000",
"number": "1437299039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "98 SAN MIGUEL ST",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011042938",
"telephone_number": "413-739-8599",
"fax_number": "413-739-8264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 N MAIN ST",
"city": "LEEDS",
"state": "MA",
"postal_code": "010539714",
"telephone_number": "413-584-4040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZPATRICK",
"first_name": "KIMBERLY",
"middle_name": "ANN",
"credential": "M.S., R.P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-06",
"last_updated": "2008-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "11345",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leeds, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.