Active NPI
Kaitlyn J. Quigley, DPT
- Physical Therapist
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 301405
- Practice address
- 11515 El Camino Real Ste 130
San Diego, CA 92130-3034 - Phone
- (858) 793-1460
- NPI assigned
- Sep 15, 2010
- Last updated
- Dec 19, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT02316 | RI | |
| Physical Therapist | 225100000X | 301405 | CA | Primary |
Addresses
Primary practice location
11515 El Camino Real Ste 130
San Diego, CA 92130-3034
Mailing address
14 Nakomis Dr
Warwick, RI 02888-5506
Phone (401) 737-4581
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT02316 | Other | RI | STATE LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
133 Highland Ave
Salem, MA 01970-2774
Phone (978) 741-0666
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay State Physical Therapy of Randolph Inc | Current | Accepting new patients | |
| Bay State Physical Therapy of Randolph Inc | Physical Therapist | Current | Accepting new patients |
Locations
133 Highland Ave
Salem, MA 01970
Phone (978) 741-0666
Organizations & group practices 3
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.
-
dba Bay State Physical Therapy
- Physical Therapist
- Fall River, MA
- NPI 1164474334
-
dba Milton Chiropractic and Rehabilitation INC
- Chiropractor
- Quincy, MA
- NPI 1316507627
-
dba Bay State Physical Therapy
- Physical Therapist
- Franklin, MA
- NPI 1821108549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734566400000",
"number": "1457669269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 NAKOMIS DR",
"city": "WARWICK",
"state": "RI",
"postal_code": "028885506",
"telephone_number": "401-737-4581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11515 EL CAMINO REAL STE 130",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921303034",
"telephone_number": "858-793-1460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUIGLEY",
"first_name": "KAITLYN",
"middle_name": "J.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-15",
"last_updated": "2024-12-19",
"certification_date": "2024-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "RI",
"license": "PT02316",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "301405",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "PT02316",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; 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.