Active NPI
Kristy Thibodeau, MS, PT
- Physical Therapist
- Norton, MA
National Provider Identifier
1922159383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 17223
- Practice address
- 250 E Main St
Norton, MA 02766-2436 - Phone
- (508) 285-5533
- Fax
- (508) 285-7977
- NPI assigned
- Jan 14, 2007
- Last updated
- Jul 8, 2007
- 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 | 17223 | MA | Primary |
Addresses
Primary practice location
250 E Main St
Norton, MA 02766-2436
Mailing address
250 E Main St
Norton, MA 02766-2436
Phone (508) 285-5533
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11491609 | Other | MA | AETNA |
| Y68454 | Other | MA | BCBSMA |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17223 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1922159383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 E MAIN ST",
"city": "NORTON",
"state": "MA",
"postal_code": "027662436",
"telephone_number": "508-285-5533",
"fax_number": "508-285-7977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 E MAIN ST",
"city": "NORTON",
"state": "MA",
"postal_code": "027662436",
"telephone_number": "508-285-5533",
"fax_number": "508-285-7977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THIBODEAU",
"first_name": "KRISTY",
"credential": "MS, PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "17223",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "11491609",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSMA",
"identifier": "Y68454",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Norton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.