Kiera Kirkaldy
Individual provider Active NPI Physical Therapist · Wrentham, MA
NPI 1629689690 · NPPES record last updated Aug 13, 2020
Key facts
- NPI
- 1629689690
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 25048 (MA)
- Practice address
- 513 South St
Wrentham, MA 02093-1565 - Phone
- (508) 876-7289
- NPI assigned
- Aug 13, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hingham Physical Therapy Inc
Practice addresses (Care Compare)
184 Lincoln St
Suite 3
Hingham, MA 02043-1763
Phone (781) 740-4900
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200908001752 | MA | Practitioner - Physical Therapist in Private Practice | 5991123903 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25048 | MA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atrius Health, Inc. | Physical Therapist | Current | Accepting new patients |
| Hingham Physical Therapy, Inc. | Physical Therapist | Current |
Accepting new patients |
| Atrius Health, Inc. | Current |
Accepting new patients | |
| Atrius Health, Inc. | Physical Therapist | Current |
Accepting new patients |
| Motion Works Physical Therapy, LLC | Physical Therapist | Past |
Accepting new patients |
Locations
133 Brookline Ave
Boston, MA 02215
Phone (617) 421-1000
184 Lincoln St
Unit C
Hingham, MA 02043
Phone (781) 740-4900
184 Lincoln St
Ste 3
Hingham, MA 02043
Phone (781) 740-4900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 25048 | MA | Yes |
Addresses
Primary practice location
513 South St
Wrentham, MA 02093-1565
Mailing address
513 South St
Wrentham, MA 02093-1565
Phone (508) 876-7289
Other providers in Wrentham, MA
- Wendy Johnson
- Jacklyn Jones
- Noemi Kahle
- Meghan Kelley
- King Philip Reg School District
- Nikki Eschmann Kirsch
- Marya A Koza
- Kristen Sullivan LMHC
- Felicia Kuplast
- William Peter Lafferty
All providers in Wrentham, 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 Aug 13, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.