Kristin L Kelleher-Mochak, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

16772 Issued in MA

Practice address

55 Federal St
Greenfield, MA 01301-2546

Phone

(413) 774-7979

Fax

(413) 775-0222

NPI assigned

Jun 16, 2006

Last updated

Aug 29, 2011By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Innovative Physician Services LLC

  • Physical Medicine & Rehabilitation Physician
  • Springfield, MA
  • NPI 1922096049

  Physical Therapist

  NPD (past)
• Pioneer Spine and Sports Physicians, PC

  • Physical Therapist
  • West Springfield, MA
  • NPI 1346427713
  NPD (past)

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314576000000",
    "number": "1619911625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 ELM ST",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010891820",
            "telephone_number": "413-785-1153",
            "fax_number": "413-781-4951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 FEDERAL ST",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013012546",
            "telephone_number": "413-774-7979",
            "fax_number": "413-775-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEHER-MOCHAK",
        "first_name": "KRISTIN",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2011-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "16772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebekah Keasbey, RN
• Mia Helen Kebreau
• Robin Lynn Keeler, RN
• Hunter Kegans
• Natalie Kelahan
• Elizabeth Kelley
• Gregory M Kelley, MSW
• David Baker Kells, LICSW
• Sarah Elizabeth Kells, CNP
• Ronald A Kelter, PA

• Physical Therapist in Greenfield, MA
• Providers in Greenfield, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2011; 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.