Active NPI
Kathryn Flanagan, DPT
- Physical Therapist
- North Adams, MA
National Provider Identifier
1609312719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 23412
- Practice address
- 175 Franklin St
North Adams, MA 01247-2712 - Phone
- (413) 664-4041
- NPI assigned
- Jan 12, 2017
- 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 | 11261 | CT | |
| Physical Therapist | 225100000X | 23412 | MA | Primary |
Addresses
Primary practice location
175 Franklin St
North Adams, MA 01247-2712
Mailing address
175 Franklin St
North Adams, MA 01247-2712
Phone (413) 664-4041
Other names 1
- Kathryn Goyette
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11261 | CT | MD | Physical Therapist |
| 23412 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569196800000",
"number": "1609312719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 FRANKLIN ST",
"city": "NORTH ADAMS",
"state": "MA",
"postal_code": "012472712",
"telephone_number": "413-664-4041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 FRANKLIN ST",
"city": "NORTH ADAMS",
"state": "MA",
"postal_code": "012472712",
"telephone_number": "413-664-4041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLANAGAN",
"first_name": "KATHRYN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-12",
"last_updated": "2019-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "11261",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "23412",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHRYN",
"last_name": "GOYETTE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in North Adams, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.