Active NPIIndividual provider

Desmond J Kerrigan, PTA

Physical Therapy Assistant in Medford, Massachusetts

NPI Number1740787894
Practice location
200 Governors Ave, Medford, MA 02155-1644
Fax
—
Last updated
April 6, 2018

Desmond James Kerrigan is a Physical Therapy Assistant based in Medford, MA. Desmond James Kerrigan practices in Medford, MA and has the professional credentials of PTA. The NPI Number for Desmond James Kerrigan is 1740787894 and holds a License No. 9233 (MA). The current practice location address for Desmond James Kerrigan is 200 Governors Ave, Medford, MA 02155-1644 and can be reached out via phone at 781-391-5400.

Provider Profile Details

NPI Number
1740787894
Provider Name
Desmond James Kerrigan
Credential
PTA
Provider Entity Type
Individual
Gender
Male
Address
200 Governors Ave, Medford, MA 02155-1644
Phone Number
781-391-5400
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
No
Provider Enumeration Date
April 6, 2018
Last Update Date
April 6, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
200 Governors Ave
Medford, MA 02155-1644
Zip
02155-1644
Phone Number
781-391-5400
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
74 Upland RD
Cambridge, MA 02140-2704
City
Cambridge
State
MA
Zip
02140-2704

License Information

License Number
9233
License State
MA
Taxonomy
Physical Therapy Assistant · 225200000X · Primary

Legacy Identifiers

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

Other Physical Therapy Assistants near Medford, MA

View all Physical Therapy Assistants in Medford →

Frequently Asked Questions

What is the NPI number of Desmond J Kerrigan, PTA?

The NPI number of Desmond J Kerrigan, PTA is 1740787894. It was assigned on April 6, 2018 and is currently active in the NPPES registry.

What is the specialty of Desmond J Kerrigan, PTA?

Desmond J Kerrigan, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in MA under license number 9233.

Where does Desmond J Kerrigan, PTA practice?

The practice location is 200 Governors Ave, Medford, MA 02155-1644. The office can be reached at 781-391-5400 (phone).

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 1740787894 directly on the NPPES registry website.

Browse related providers