Patricia I. Kussman, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4399 Issued in MA

Practice address

675 Paramount Dr
Suite 103
Raynham, MA 02767-5416

Phone

(508) 828-1011

Fax

(508) 828-1004

NPI assigned

Aug 24, 2005

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480550400000",
    "number": "1922091024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 JOSEPH ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021693442",
            "telephone_number": "617-875-3813",
            "fax_number": "508-828-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 PARAMOUNT DR",
            "address_2": "SUITE 103",
            "city": "RAYNHAM",
            "state": "MA",
            "postal_code": "027675416",
            "telephone_number": "508-828-1011",
            "fax_number": "508-828-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUSSMAN",
        "first_name": "PATRICIA",
        "middle_name": "I.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-24",
        "last_updated": "2016-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "4399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110018176A",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "TX3949",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.