Active NPI
Katherine Guillotte, PT, DPT
- Physical Therapist
- N Dartmouth, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 24531
- Practice address
- 375 Faunce Corner Rd Ste C
N Dartmouth, MA 02747-1258 - Phone
- (781) 425-7906
- Fax
- (774) 221-2209
- NPI assigned
- Sep 12, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 24531 | Primary |
Addresses
Primary practice location
375 Faunce Corner Rd Ste C
N Dartmouth, MA 02747-1258
Mailing address
1 Credit Union Way FL 3
Randolph, MA 02368-4633
Phone (781) 961-3370
Other practice location 1
543 North St
New Bedford, MA 02740-2782
Phone (508) 996-3391
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Kguillotte@meetingstreet.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
375 Faunce Corner Rd
Suite C
North Dartmouth, MA 02747-1258
Phone (774) 425-7911
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay State Physical Therapy of Randolph Inc | Physical Therapist | Current | Accepting new patients |
| Bay State Physical Therapy of Randolph Inc | Physical Therapist | Current | Accepting new patients |
Locations
1 Pearl St
Ste 1700
Brockton, MA 02301
Phone (508) 427-0525
375 Faunce Corner Rd
Ste C
North Dartmouth, MA 02747
Phone (774) 425-7906
1343 Providence Hwy
Norwood, MA 02062
Phone (781) 702-1339
1 Credit Union Way
Fl 3
Randolph, MA 02368
Phone 7819613370225
1054 County St
Somerset, MA 02726
Phone (508) 674-3340
Interoperability endpoints
- kguillotte@meetingstreet.org
Organizations & group practices 3
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
-
- Physical Therapist
- Brockton, MA
- NPI 1740390459
-
- Physical Therapist
- Franklin, MA
- NPI 1821108549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596499200000",
"number": "1700436771",
"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": "375 FAUNCE CORNER RD STE C",
"city": "N DARTMOUTH",
"state": "MA",
"postal_code": "027471258",
"telephone_number": "781-425-7906",
"fax_number": "774-221-2209"
}
],
"practiceLocations": [
{
"address_1": "543 North St",
"address_purpose": "LOCATION",
"city": "New Bedford",
"state": "MA",
"postal_code": "027402782",
"country_code": "US",
"telephone_number": "508-996-3391",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUILLOTTE",
"first_name": "KATHERINE",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-12",
"last_updated": "2020-08-04",
"certification_date": "2020-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": "24531",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Kguillotte@meetingstreet.org",
"affiliation": "N",
"address_1": "543 North St",
"city": "New Bedford",
"state": "MA",
"country_code": "US",
"postal_code": "027402782",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in N Dartmouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; 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.