Active NPI
Kevin Pablo Quinde
- Physical Therapist
- Saugus, MA
National Provider Identifier
1780483552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 054040
- Practice address
- 600 Broadway
Saugus, MA 01906-3201 - Phone
- (781) 746-6013
- NPI assigned
- Mar 12, 2025
- Sex
- Male
- 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 | 054040 | NY | Primary |
Addresses
Primary practice location
600 Broadway
Saugus, MA 01906-3201
Mailing address
317 Spring Ave
Troy, NY 12180-5210
Phone (518) 932-5289
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 054040 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741737600000",
"number": "1780483552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "317 SPRING AVE",
"city": "TROY",
"state": "NY",
"postal_code": "121805210",
"telephone_number": "518-932-5289",
"fax_number": "518-932-5289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 BROADWAY",
"city": "SAUGUS",
"state": "MA",
"postal_code": "019063201",
"telephone_number": "781-746-6013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINDE",
"first_name": "KEVIN",
"middle_name": "PABLO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-03-12",
"last_updated": "2025-03-12",
"certification_date": "2025-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "054040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saugus, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.