Active NPI
Kerry Lynne Walsh, PT
- Physical Therapist
- Bellingham, MA
National Provider Identifier
1497749634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 19240
- Practice address
- 40 North Main Street
Bellingham, MA 02019-0000 - Phone
- (508) 966-2717
- Fax
- (508) 966-2095
- NPI assigned
- Sep 2, 2005
- Last updated
- Sep 29, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | 00000978 | ME | |
| Physical Therapist | 225100000X | 19240 | MA | Primary |
Addresses
Primary practice location
40 North Main Street
Bellingham, MA 02019-0000
Mailing address
40 North Main Street
Bellingham, MA 02019-0000
Phone (508) 966-2717
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00000978 | ME | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285718400000",
"number": "1497749634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 NORTH MAIN STREET",
"city": "BELLINGHAM",
"state": "MA",
"postal_code": "020190000",
"telephone_number": "508-966-2717",
"fax_number": "508-966-2095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 NORTH MAIN STREET",
"city": "BELLINGHAM",
"state": "MA",
"postal_code": "020190000",
"telephone_number": "508-966-2717",
"fax_number": "508-966-2095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALSH",
"first_name": "KERRY",
"middle_name": "LYNNE",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-09-02",
"last_updated": "2010-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ME",
"license": "00000978",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "19240",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellingham, MA
- Visology Inc (VISOLOGY @Bellingham)
- Wal-Mart Stores East , LP (Wal-Mart Pharmacy 10-1918)
- Walgreen Co (Walgreens #10268)
- Tiffany Wallace
- John Arthur Walsh, R.PH. MS
- Laurie Alexander Warren, M.S.
- Woonsocket Urgent Care, PC (Bellingham Urgent Care)
- Charbel Younes, FNP-BC
- Jennifer M Zammiello
- Tara Zeigler, M.S., BCBA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.