MEDICARE: WILLIAM J POIRIER PT

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	PT00599	RI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PT00599	OTHER	RI	TRI-CARE
2	64-00296	OTHER	RI	UNITED HEALTH
3	402473	OTHER	RI	BLUE CHIP RI
4	22645-3	OTHER	RI	BLUE CROSS BLUE SHEILD
5	13859	OTHER	RI	NEIGHBORHOOD HEALTH PLAN

General Provider Information

NPI Number	:	1548227200
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM J POIRIER PT

Provider Business Mailing Address
First Line	:	1181 AQUIDNECK AVE
Second Line	:
City	:	MIDDLETOWN
State	:	RI
Zip	:	02842-5255
Country	:	US
Telephone Number	:	401-845-0840
Fax Number	:	401-619-3752

Provider Business Practice Location Address
First Line	:	1808 MAIN RD
Second Line	:
City	:	TIVERTON
State	:	RI
Zip	:	02878-4625
Country	:	US
Telephone Number	:	401-625-1539
Fax Number	:	401-625-9856

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

Provider Enumeration Date	:	04/27/2006
Last Update Date	:	10/31/2017

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Directions to “ WILLIAM J POIRIER PT” Practice Location

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