Individual provider Active NPI

Mimi Quirante Chio-Kemp X, BSPT

  • Physical Therapist
  • Meredith, NH
National Provider Identifier
1619326360
Registry record updated Jun 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2005 Issued in NH
Practice address
238 Daniel Webster Hwy
Meredith, NH 03253-5803
Phone
(603) 279-7208
Fax
(603) 279-7808
NPI assigned
Jun 3, 2016
Last updated
Jun 3, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2016

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 2005 NH Primary

Addresses

Primary practice location

238 Daniel Webster Hwy
Meredith, NH 03253-5803

Mailing address

208 Eastman Rd
Laconia, NH 03246-1412
Phone (603) 520-4631

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

LicenseStateTypeSpecialty
2005NHMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1464912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464912000000",
    "number": "1619326360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 EASTMAN RD",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032461412",
            "telephone_number": "603-520-4631",
            "fax_number": "603-279-7808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 DANIEL WEBSTER HWY",
            "city": "MEREDITH",
            "state": "NH",
            "postal_code": "032535803",
            "telephone_number": "603-279-7208",
            "fax_number": "603-279-7808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIO-KEMP",
        "first_name": "MIMI",
        "middle_name": "QUIRANTE",
        "name_prefix": "Mrs.",
        "name_suffix": "X",
        "credential": "BSPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-03",
        "last_updated": "2016-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "2005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meredith, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2016; 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.