Kim Elia
Individual provider Active NPI Physical Therapist · Ashland, MA
NPI 1629323324 · NPPES record last updated Sep 18, 2015
Key facts
- NPI
- 1629323324
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 20789 (MA)
- Practice address
- 15 W Union St
Ashland, MA 01721-1464 - Phone
- (508) 544-1540
- NPI assigned
- Jul 18, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20789 | MA | MD | Prosthodontist |
| 9851 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bodycentral Physical Therapy PC | Past | Accepting new patients | |
| Bodycentral Physical Therapy P C | Past |
Accepting new patients | |
| Platinum Physical Therapy, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 9851 | AZ | |
| Physical Therapist | 225100000X | 20789 | MA | Yes |
Addresses
Primary practice location
15 W Union St
Ashland, MA 01721-1464
Mailing address
15 W Union St
Ashland, MA 01721-1464
Phone (508) 544-1540
Other providers in Ashland, MA
- Amy Faith Ringer Donovan
- Emily Doucette
- Amanda Lyn Dowd
- William Bernard Dwinnells Jr.
- Idriss El Koussaimi
- Armond M Enos Jr.
- Xinyuan Fan
- Brianna Fay
- Yajun Feng
- Benjamin A Fisher
All providers in Ashland, MA · Physical Therapist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.