Kimberly Laquerre Cunningham, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

007675 Issued in CT

Practice address

7 Elm St
Suite 204
Enfield, CT 06082-3669

Phone

(860) 741-2242

Fax

(860) 741-2248

NPI assigned

Aug 14, 2006

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 identifiers 1

Other names 1

• Kimberly Ann Laquerre Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Grey Physical Therapy & Sports Medicine Center of Enfield, PC

  • Physical Therapist
  • Enfield, CT
  • NPI 1205918653
  NPD (past)

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384992000000",
    "number": "1548273485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 ELM ST",
            "address_2": "SUITE 204",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060823669",
            "telephone_number": "860-741-2242",
            "fax_number": "860-741-2248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 ELM ST",
            "address_2": "SUITE 204",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060823669",
            "telephone_number": "860-741-2242",
            "fax_number": "860-741-2248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "KIMBERLY",
        "middle_name": "LAQUERRE",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2013-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "007675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004251211",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "LAQUERRE",
            "middle_name": "ANN",
            "credential": "MSPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• CRV Dermatology LLC
• CT Center for Bladder Health LLC
• CT Neurology, PC
• Frankie Cuevas, D.D.S.
• Elizabeth Culhane
• Andrea Rebecca Curry, LCSW
• George Brant Curry Jr., D.C.
• Jessica Cushing
• CVGV Surgical Associates, PC.
• Melissa D'Amato, PA-C

• Physical Therapist in Enfield, CT
• Providers in Enfield, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2013; 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.