Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Timothy Campbell Kiley

Individual provider Physical Therapist · NPI 1245418235

Mr. Timothy Campbell Kiley is a Physical Therapist in Private Practice in South Boston, Massachusetts. Qualified in 2006, 20 years ago. Practices with Dg Physical Therapy PC, a 44-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
20
Licensed in
MA
In the registry since
2008
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Practice location Address checks out

377 W Broadway
South Boston, MA 02127-2217
Phone: (617) 752-4672
Fax: (617) 752-4643
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 17617 (MA)

Record details

NPI number1245418235
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 1, 2008
Last updated in NPPESApril 26, 2017
Mailing address1 Credit Union Way, Fl. 3, Randolph, MA 02368-4633

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Dg Physical Therapy Pc — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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