Kimberly Buonomo, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

99 Dartmouth St
Malden, MA 02148-5103

Phone

(781) 605-1225

Fax

(781) 605-3451

NPI assigned

Aug 15, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Akincilar and Prendergast, Inc

  • Physical Therapy Clinic/Center
  • Lexington, MA
  • NPI 1801288824

  Physical Therapist

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1471219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525305600000",
    "number": "1740734136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CREDIT UNION WAY",
            "address_2": "FL3",
            "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": "99 DARTMOUTH ST",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021485103",
            "telephone_number": "781-605-1225",
            "fax_number": "781-605-3451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUONOMO",
        "first_name": "KIMBERLY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-15",
        "last_updated": "2018-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenny Brunot
• Jacob Salpeter Buckley
• Michael S Buckley, MA
• Ashley Buettgen
• Dylan H Bui, OD
• Ryan Matthew Burke, DPT
• Sheila Buteau, RN
• Margaret Butler, LICSW
• Maria Grace Butler
• Suzanne D Butler

• Physical Therapist in Malden, MA
• Providers in Malden, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.