Active NPI
Diane Marie Stubeda-Kingman, PT
- Physical Therapist
- Arlington, MA
National Provider Identifier
1740752724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7196
- Practice address
- 31 Mount Vernon St
Arlington, MA 02476-6126 - Phone
- (339) 368-0409
- NPI assigned
- Jan 1, 2019
- 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 | 7196 | MA | Primary |
Addresses
Primary practice location
31 Mount Vernon St
Arlington, MA 02476-6126
Mailing address
127 Cambridge St Ste 2B
Burlington, MA 01803-3735
Phone (781) 272-2536
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 |
|---|---|---|---|
| 7196 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546300800000",
"number": "1740752724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 CAMBRIDGE ST STE 2B",
"city": "BURLINGTON",
"state": "MA",
"postal_code": "018033735",
"telephone_number": "781-272-2536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 MOUNT VERNON ST",
"city": "ARLINGTON",
"state": "MA",
"postal_code": "024766126",
"telephone_number": "339-368-0409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUBEDA-KINGMAN",
"first_name": "DIANE",
"middle_name": "MARIE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-01",
"last_updated": "2019-01-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "7196",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.