Active NPIIndividual provider

Mr. Timothy C Kiley

Physical Therapist in South Boston, Massachusetts

NPI Number1245418235
Practice location
377 W Broadway, South Boston, MA 02127-2217
Fax
617-752-4643
Last updated
April 26, 2017

Timothy Campbell Kiley is a Physical Therapist based in South Boston, MA. Timothy Campbell Kiley practices in South Boston, MA. The NPI Number for Timothy Campbell Kiley is 1245418235 and holds a License No. 17617 (MA). The current practice location address for Timothy Campbell Kiley is 377 W Broadway, South Boston, MA 02127-2217 and can be reached out via phone at 617-752-4672 and via fax at 617-752-4643.

Provider Profile Details

NPI Number
1245418235
Provider Name
Timothy Campbell Kiley
Provider Entity Type
Individual
Gender
Male
Address
377 W Broadway, South Boston, MA 02127-2217
Phone Number
617-752-4672
Fax Number
617-752-4643
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
February 1, 2008
Last Update Date
April 26, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
377 W Broadway
South Boston, MA 02127-2217
Zip
02127-2217
Phone Number
617-752-4672
Fax Number
617-752-4643
South Boston, MA 02127Get directions →

Provider Business Mailing Address Details

Address
1 Credit Union Way
Fl. 3
Randolph, MA 02368-4633
City
Randolph
State
MA
Zip
02368-4633
Phone Number
781-961-3370
Fax Number
781-961-1291

License Information

License Number
17617
License State
MA
Taxonomy
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Timothy C Kiley?

The NPI number of Mr. Timothy C Kiley is 1245418235. It was assigned on February 1, 2008 and is currently active in the NPPES registry.

What is the specialty of Mr. Timothy C Kiley?

Mr. Timothy C Kiley is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in MA under license number 17617.

Where does Mr. Timothy C Kiley practice?

The practice location is 377 W Broadway, South Boston, MA 02127-2217. The office can be reached at 617-752-4672 (phone) or 617-752-4643 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1245418235 directly on the NPPES registry website.

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