Individual provider Active NPI

Kristen Meredith Paul, PT, DPT

  • Physical Therapist
  • Taunton, MA
National Provider Identifier
1851615827
Registry record updated Jul 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
18296 Issued in MA
Practice address
63 Winthrop St Ste C1-C2
Taunton, MA 02780-6218
Phone
(508) 822-8514
Fax
(508) 822-8516
NPI assigned
Mar 19, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 18296 MA Primary

Addresses

Primary practice location

63 Winthrop St Ste C1-C2
Taunton, MA 02780-6218

Mailing address

1 Credit Union Way FL 3
Randolph, MA 02368-4633
Phone (781) 961-3370

Other practice location 1

540 Gallivan Blvd
Dorchester, MA 02124-5400
Phone (617) 282-1200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170208001130 MA Practitioner - Physical Therapist in Private Practice 8729361266 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay State Physical Therapy of Randolph IncGroup PAC ID 6305744251, 451 clinicians

Practice addresses (Care Compare)

45 Forge Hill Rd
Franklin, MA 02038-3100
Phone (508) 541-9111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18296MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Care Physician Network LLC CurrentSince Nov 6, 2019 Accepting new patients
Orthopedic Care Physician Network, LLC CurrentSince Nov 6, 2019 Accepting new patients
Bay State Physical Therapy of Randolph Inc CurrentSince Jul 7, 2018 Accepting new patients

Locations

45 Forge Hill Rd
Franklin, MA 02038
Phone (508) 520-4652

89 Forbes Blvd
Ste 1000
Mansfield, MA 02048

15 Roche Brothers Way
North Easton, MA 02356
Phone (781) 545-9273

1343 Providence Hwy
Norwood, MA 02062
Phone (781) 702-1339

111 Willard St
Ste 2A
Quincy, MA 02169
Phone (617) 471-4491

1 Credit Union Way
Fl 3
Randolph, MA 02368
Phone 7819613370225

1054 County St
Somerset, MA 02726
Phone (508) 674-3340

63 Winthrop St
Ste C1C2
Taunton, MA 02780
Phone (508) 822-8514

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1268956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562112000000",
    "number": "1851615827",
    "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": "63 WINTHROP ST STE C1-C2",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027806218",
            "telephone_number": "508-822-8514",
            "fax_number": "508-822-8516"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "540 Gallivan Blvd",
            "address_purpose": "LOCATION",
            "city": "Dorchester",
            "state": "MA",
            "postal_code": "021245400",
            "country_code": "US",
            "telephone_number": "617-282-1200",
            "fax_number": "617-282-9988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAUL",
        "first_name": "KRISTEN",
        "middle_name": "MEREDITH",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-19",
        "last_updated": "2019-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "18296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taunton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; 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.

Verify at the official NPI Registry.