| Mr Timothy Campbell Kiley, | |
|
377 W Broadway, South Boston, MA 02127-2217 | |
| (617) 752-4672 | |
| (617) 752-4643 |
| Full Name | Mr Timothy Campbell Kiley |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 19 Years |
| Location | 377 W Broadway, South Boston, Massachusetts |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245418235 | NPI | - | NPPES |
| 110087951A | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 17617 (Massachusetts) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dg Physical Therapy Pc | 0143503680 | 33 |
| Provider Name | Dg Physical Therapy Pc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1295279198 PECOS PAC ID: 0143503680 Enrollment ID: O20170208000911 |
| Provider Name | Concierge Physical Therapy, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1164935862 PECOS PAC ID: 1658630710 Enrollment ID: O20180117002260 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Timothy Campbell Kiley, 1 Credit Union Way, Fl. 3, Randolph, MA 02368-4633 Ph: (781) 961-3370 | Mr Timothy Campbell Kiley, 377 W Broadway, South Boston, MA 02127-2217 Ph: (617) 752-4672 |
Sarah Lewis, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 386 W Broadway Fl 1, South Boston, MA 02127 Phone: 617-752-4672 | |
Brendan Kirck, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 20 Old Colony Ave, South Boston, MA 02127 Phone: 781-664-9388 | |
Mrs. Lisa M Scialla, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 379 W Broadway, South Boston, MA 02127 Phone: 617-752-4138 Fax: 617-752-4127 | |
Emily Zarrilli, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 897 E Broadway, South Boston, MA 02127 Phone: 860-803-2442 | |
Ryan Edmund Bogrette, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 379 W Broadway, South Boston, MA 02127 Phone: 617-968-3999 Fax: 617-752-4127 | |
Jillian O'connell, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 386 W Broadway Fl 1, South Boston, MA 02127 Phone: 617-752-4672 |