Individual provider Active NPI

Kevin Flaherty, PT

  • Physical Therapist
  • Whitinsville, MA
National Provider Identifier
1598791402
Registry record updated Jun 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8633 Issued in MA
Practice address
670 Linwood Ave
Suite 2
Whitinsville, MA 01588-2068
Phone
(508) 234-7544
Fax
(508) 234-8002
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 8633 MA Primary

Addresses

Primary practice location

670 Linwood Ave
Suite 2
Whitinsville, MA 01588-2068

Mailing address

670 Linwood Ave
Suite 2
Whitinsville, MA 01588-2068
Phone (508) 234-7544

Other identifiers 2

IdentifierTypeStateIssuer
468163OtherMATUFTS
Y66981OtherMABCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051005000108 MA Practitioner - Physical Therapist in Private Practice 5698735306 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Flaherty Physical Therapy IncGroup PAC ID 6305141839, 14 clinicians

Practice addresses (Care Compare)

411 W Main St
Suite 3
Northborough, MA 01532-2163
Phone (508) 393-9000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8633MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Flaherty Physical Therapy, Inc. Physical Therapist CurrentSince Nov 23, 2015 Accepting new patients
Ramsey Rehabilitation, Inc PastSince Jul 1, 2000 Accepting new patients

Locations

411 W Main St
Ste 3
Northborough, MA 01532
Phone (508) 393-9000

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402531200000",
    "number": "1598791402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 LINWOOD AVE",
            "address_2": "SUITE 2",
            "city": "WHITINSVILLE",
            "state": "MA",
            "postal_code": "015882068",
            "telephone_number": "508-234-7544",
            "fax_number": "508-234-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 LINWOOD AVE",
            "address_2": "SUITE 2",
            "city": "WHITINSVILLE",
            "state": "MA",
            "postal_code": "015882068",
            "telephone_number": "508-234-7544",
            "fax_number": "508-234-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLAHERTY",
        "first_name": "KEVIN",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2014-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "8633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "468163",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y66981",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitinsville, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2014; 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.

Verify at the official NPI Registry.