Active NPI
Kathleen C. Coughlin, DPT, PT
- Physical Therapist
- Providence, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT03171
- Practice address
- 235 Plain St Ste 307
Providence, RI 02905-3243 - Phone
- (781) 961-3370
- NPI assigned
- Jan 30, 2014
- 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 | 20888 | MA | |
| Physical Therapist | 225100000X | PT03171 | RI | Primary |
Addresses
Primary practice location
235 Plain St Ste 307
Providence, RI 02905-3243
Mailing address
1 Credit Union Way FL 3
Randolph, MA 02368-4633
Phone (781) 961-3370
Other practice location 1
362 Belmont St
Brockton, MA 02301-4950
Phone (508) 584-7711
Other names 1
- Kathleen C. Hallinan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, RI
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
41 Smithfield Rd
North Providence, RI 02904-5312
Phone (401) 406-8507
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20888 | MA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay State Physical Therapy of Randolph Inc | Physical Therapist | Current | Accepting new patients |
Locations
703 Granite St
Ste 3
Braintree, MA 02184
703 Granite St
Ste 300
Braintree, MA 02184
Phone (603) 626-4205
1 Pearl St
Ste 1700
Brockton, MA 02301
Phone (508) 427-0525
362 Belmont St
Brockton, MA 02301
Phone (508) 584-6622
99 Dartmouth St
Malden, MA 02148
Phone (781) 605-1225
1343 Providence Hwy
Norwood, MA 02062
Phone (781) 702-1339
1 Credit Union Way
Fl 3
Randolph, MA 02368
Phone 7819613370225
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Fall River, MA
- NPI 1164474334
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563926400000",
"number": "1699198416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CREDIT UNION WAY FL 3",
"city": "RANDOLPH",
"state": "MA",
"postal_code": "023684633",
"telephone_number": "781-961-3370",
"fax_number": "781-961-1291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 PLAIN ST STE 307",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029053243",
"telephone_number": "781-961-3370"
}
],
"practiceLocations": [
{
"address_1": "362 Belmont St",
"address_purpose": "LOCATION",
"city": "Brockton",
"state": "MA",
"postal_code": "023014950",
"country_code": "US",
"telephone_number": "508-584-7711",
"fax_number": "508-584-7744",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COUGHLIN",
"first_name": "KATHLEEN",
"middle_name": "C.",
"credential": "DPT, PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-30",
"last_updated": "2019-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "20888",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "RI",
"license": "PT03171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHLEEN",
"last_name": "HALLINAN",
"middle_name": "C.",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.