Active NPI
Joseph M Kelly MSPT, Inc.
- Physical Therapist
- Hingham, MA
National Provider Identifier
1861593568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8277
- Legal business name
- JOSEPH M KELLY MSPT, INC.
- Practice address
- 2 Keith Way
Hingham, MA 02043-4204 - Phone
- (781) 740-2289
- NPI assigned
- Sep 26, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Joseph M Kelly, MSPT
- Title
- Owner/President
- Phone
- (781) 740-2289
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 8277 | MA | Primary |
Addresses
Primary practice location
2 Keith Way
Hingham, MA 02043-4204
Mailing address
88 Lake Shore Dr
Duxbury, MA 02332-4147
Phone (781) 740-2289
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 455246 | Other | MA | TUFTS HEALTH PLAN |
| Y61297 | Other | MA | BLUE CROSS BLUE SHIELD |
| 0365572 | Medicaid | MA | |
| 44996 | Other | MA | FALLON HEALTH INS |
| 64-00321 | Other | MA | UNITED HEALTHCARE |
| 3776947 | Other | MA | AETNA |
| 37250 | Other | MA | HARVARD PILGRIM INS. |
| 918633 | Other | MA | FIRST HEALTH |
National Provider Directory
National Provider DirectoryLocations
62 Derby St
Ste 12
Hingham, MA 02043
Phone (781) 740-2242
2 Keith Way
Hingham, MA 02043
Phone (781) 740-2289
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1861593568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "88 LAKE SHORE DR",
"city": "DUXBURY",
"state": "MA",
"postal_code": "023324147",
"telephone_number": "781-740-2289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 KEITH WAY",
"city": "HINGHAM",
"state": "MA",
"postal_code": "020434204",
"telephone_number": "781-740-2289"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOSEPH M KELLY MSPT, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-26",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KELLY",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "781-740-2289",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MSPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "MA",
"license": "8277",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "455246",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "Y61297",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0365572",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON HEALTH INS",
"identifier": "44996",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "64-00321",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "3776947",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM INS.",
"identifier": "37250",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "918633",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hingham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.