DR. KELLY MACAULEY (NPI# 1902932148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902932148 |
| Entity Type | Individual |
| Full Name | DR. KELLY MACAULEY |
| Credential | PT, GCS |
| Practice Address |
15 Parkman St Boston MA 02114-3117 |
| Mailing Address |
285 Lynn Shore Dr Lynn MA 01902-4944 |
| Practice Telephone | 6177263023 |
| Enumeration Date | 2007-02-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
15456 | MA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
15 PARKMAN ST |
| City | BOSTON |
| State | MA |
| Zip Code | 02114-3117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972505402 | Mira Kautzky | Internal Medicine | 15 Parkman St, Suite 645, Wacc, Boston, MA 02114 | 2005-08-15 |
| 1528678646 | Lizabeth J Flash | Psychiatry & Neurology | 15 Parkman St, Boston, MA 02114-3117 | 2020-08-04 |
| 1710513726 | Travis Robert Hallett | Student in an Organized Health Care Education/Training Program | 15 Parkman St, Wacc-6-635, Boston, MA 02114 | 2020-03-21 |
| 1679118780 | Loren Hasse | Physical Medicine & Rehabilitation | 15 Parkman St, Boston, MA 02114-3117 | 2019-11-12 |
| 1891344354 | Wallace Leo Frigon Jr. | Physical Therapist | 15 Parkman St, Boston, MA 02114-3117 | 2019-09-08 |
| 1447818539 | Catherine Moore | Registered Nurse | 15 Parkman St, Boston, MA 02114-3117 | 2019-06-03 |
| 1285197038 | Ashley Marie O'brien | Physical Therapist | 15 Parkman St, Wac 134, Boston, MA 02114-3117 | 2019-04-09 |
| 1386105302 | Ayana Robertson | Physical Therapist | 15 Parkman St, Boston, MA 02114-3117 | 2019-03-31 |
| 1407315765 | Griffin Ayaz Tyree | Student in an Organized Health Care Education/Training Program | 15 Parkman St, Wang 812, Boston, MA 02114-3117 | 2019-03-17 |
| 1962987172 | Joshua Connor Torrey | Physical Therapist | 15 Parkman St, Boston, MA 02114-3117 | 2018-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588276281 | Guoliang Qiao | Student in an Organized Health Care Education/Training Program | Massachusetts General Hospital, 55 Fruit Street., Boston, MA 02114 | 2020-08-24 |
| 1881223741 | Alexander Wesley Zirulnik | Student in an Organized Health Care Education/Training Program | 55 Fruit St. Boston, Boston, MA 02114 | 2020-04-03 |
| 1376170548 | Mia Yu Bothwell | Student in an Organized Health Care Education/Training Program | Gray Bigelow 730, 55 Fruit Street, Boston, MA 02114 | 2020-03-26 |
| 1225661036 | David Dongkyung Kim | Student in an Organized Health Care Education/Training Program | 6 Whittier Place, Apartment 15b, Boston, MA 02114 | 2020-02-20 |
| 1124651658 | Madeleine Sertic | Student in an Organized Health Care Education/Training Program | Division of Abdominal Imaging, Department of Radiology, 55 Fruit Street, White 270, Boston, MA 02114 | 2020-02-12 |
| 1285274498 | Jiuk James Jung | Student in an Organized Health Care Education/Training Program | 15 Parkman Ave, Wang 4-460, Boston, MA 02114 | 2020-01-15 |
| 1831740448 | Jennifer Hughes | Physician Assistant | 55 Fruit Street, Founders 110, Boston, MA 02114 | 2019-09-25 |
| 1558827220 | Aluma Chovel Sella | Student in an Organized Health Care Education/Training Program | Massgeneral Hospital for Children Main Campus, 55 Fruit Street, Boston, MA 02114 | 2019-02-18 |
| 1083187140 | Henry Oliveras | Massage Therapist | 102 Charles Street, Boston, MA 02114 | 2019-01-10 |
| 1720550031 | Nicole M Price | Social Worker | 29 Staniford St, Boston, MA 02114 | 2018-12-27 |
| Find all providers in zip 02114 | ||||
| Taxonomy Code | 2251G0304X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Geriatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952965329 | Sarah Daly | Physical Therapist | 125 Parker Hill Ave # Main2, Boston, MA 02120-2847 | 2019-04-30 |
| 1114041969 | Alison Lindsay Squadrito | Physical Therapist | 15 Parkman St, Wang Ambulatory Care Center, Room 134, Boston, MA 02114-3117 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245863208 | Bernard Paul Tabungar | Physical Therapist | 630 Merrill Ln Apt 4, Dracut, MA 01826-4450 | 2020-02-18 |
| 1326686825 | Lisa Marie Villa | Physical Therapist | 37 Birch Street, Milford, MA 01757 | 2019-12-16 |
| 1518430651 | Kennedy Ndamba | Physical Therapist | 119 Foster St, Peabody, MA 01960-5933 | 2019-01-10 |
| 1134634082 | Victoria Kilroy | Physical Therapist | 110 Haverhill Rd Ste 344, Amesbury, MA 01913-2139 | 2017-12-13 |
| 1760923825 | Karen Oster | Physical Therapist | 23 Shipyard Dr Apt 206, Hingham, MA 02043-1609 | 2017-03-09 |
| 1699214320 | Diane O'sullivan | Physical Therapist | 2112 Riverdale St Ste 1, West Springfield, MA 01089-1099 | 2017-02-14 |
| 1033515135 | Alice Hooper | Physical Therapist | 40 Pine Ridge Dr, Bridgewater, MA 02324-1964 | 2014-11-17 |
| 1952744377 | Amy Elizabeth Strong | Physical Therapist | 190 Peck St, Franklin, MA 02038-2218 | 2013-04-16 |
| 1750664017 | Virginia Elaine Silvia | Physical Therapist | 383 East St, Brockton, MA 02302 | 2011-09-23 |
| 1205151040 | Pamela Jean Pellegrini | Physical Therapist | 36 Bay Farm Rd, Kingston, MA 02364-1555 | 2010-04-05 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.