Active NPI
Keri Walsh, DPT, PT
- Physical Therapist
- Abington, MA
National Provider Identifier
1730135013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11586
- Practice address
- 360 Brockton Ave
Abington, MA 02351-2186 - Phone
- (781) 878-5550
- Fax
- (781) 878-5472
- NPI assigned
- May 26, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11586 | MA | Primary |
Addresses
Primary practice location
360 Brockton Ave
Abington, MA 02351-2186
Mailing address
1 Credit Union Way
FL. 3
Randolph, MA 02368-4633
Phone (781) 961-3370
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110024802A | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11586 | MA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539043200000",
"number": "1730135013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CREDIT UNION WAY",
"address_2": "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": "360 BROCKTON AVE",
"city": "ABINGTON",
"state": "MA",
"postal_code": "023512186",
"telephone_number": "781-878-5550",
"fax_number": "781-878-5472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALSH",
"first_name": "KERI",
"credential": "DPT, PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-26",
"last_updated": "2018-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "11586",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110024802A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Abington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.