MEDICARE: JOHN MICHAEL WARE MPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT 01575	RI

General Provider Information

NPI Number	:	1225475031
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN MICHAEL WARE MPT

Provider Business Mailing Address
First Line	:	703 GRANITE ST STE 3
Second Line	:
City	:	BRAINTREE
State	:	MA
Zip	:	02184-5350
Country	:	US
Telephone Number	:	781-961-3370
Fax Number	:	781-961-1291

Provider Business Practice Location Address
First Line	:	800 RESERVOIR AVE
Second Line	:
City	:	CRANSTON
State	:	RI
Zip	:	02910-4426
Country	:	US
Telephone Number	:	401-946-4250
Fax Number	:	401-942-3960

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2013
Last Update Date	:	01/08/2026

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