Kelly Marie Williamson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

23257 Issued in MA

Practice address

1 Lumber St
Hopkinton, MA 01748-2363

Phone

(508) 544-1540

Fax

(508) 544-1541

NPI assigned

Oct 9, 2017

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

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Platinum Physical Therapy, Inc.Group PAC ID 5799686549, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Platinum Physical Therapy, Inc.

  • Rehabilitation Practitioner
  • Ashland, MA
  • NPI 1417010174

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Performance Rehabilitation of Western New England LLC

  dba ATI Physical Therapy of Western Massachusetts

  • Physical Therapist
  • West Springfield, MA
  • NPI 1710919063
  Medicare reassignment NPD
• Performance Rehabilitation of Western New England LLC

  dba ATI Physical Therapy

  • Durable Medical Equipment & Medical Supplies
  • Wilbraham, MA
  • NPI 1376140566

  Physical Therapist

  NPD
• Platinum Physical Therapy, Inc.

  • Occupational Therapist
  • Ashland, MA
  • NPI 1225852106
  NPD (past)
• Rivertree Osteopathic Health PC

  dba Freeport Osteopathic Health

  • Neuromusculoskeletal Medicine & OMM Physician
  • Topsham, ME
  • NPI 1093002438
  NPD (past)

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

{
    "created_epoch": "1507507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656633600000",
    "number": "1962912550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 MAIN ST STE 10",
            "city": "LAKEVILLE",
            "state": "MA",
            "postal_code": "023473622",
            "telephone_number": "508-544-1540",
            "fax_number": "508-544-1541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LUMBER ST",
            "city": "HOPKINTON",
            "state": "MA",
            "postal_code": "017482363",
            "telephone_number": "508-544-1540",
            "fax_number": "508-544-1541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-09",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "23257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Marie Vasile, NP
• Lisa Marie Vendetti, LICSW
• Roma Magalhaes Vidal, NA
• Priyam Vyas, DDS
• Susan Abbott Weaver, MSW
• Andrew R. Willment, M.D.
• Abigail Wilson
• Candi Wolfe, LMHC
• Clare F Wood, MPT
• Paul James Wright, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; 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.