Mary Kisseberth Bedson, R.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

008250 Issued in CT

Practice address

52 Beach Rd
Suite 207
Fairfield, CT 06824-6017

Phone

(203) 255-7000

Fax

(203) 255-6995

NPI assigned

Jun 3, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mary McCabe Kisseberth Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537315200000",
    "number": "1497914626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 BEACH RD",
            "address_2": "SUITE 207",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068246017",
            "telephone_number": "203-255-7000",
            "fax_number": "203-255-6995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 BEACH RD",
            "address_2": "SUITE 207",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068246017",
            "telephone_number": "203-255-7000",
            "fax_number": "203-255-6995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDSON",
        "first_name": "MARY",
        "middle_name": "KISSEBERTH",
        "credential": "R.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-03",
        "last_updated": "2018-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "008250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "KISSEBERTH",
            "middle_name": "MCCABE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Figen Ayse Baydur, DMD
• Joel J Beaman, DDS
• Amanda Bean, SLP
• Paula Beaudette, SLP
• Gianfranco Beaumont, MA, MFT 3314
• Woodlyne Belizaire
• Barton Belkin, M.D.
• Madeline M Bellamy, LMFT
• Allison Rose Belliveau
• Paul M Bellofiore, MD

• All providers in Fairfield, CT
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.