Healthcare Provider Details

I. General information

NPI: 1538090741
Provider Name (Legal Business Name): AIDAN CRONE DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

85 MAIN ST
BUZZARDS BAY MA
02532-3224
US

IV. Provider business mailing address

4 RICHMOND SQ
PROVIDENCE RI
02906-5117
US

V. Phone/Fax

Practice location:
  • Phone: 774-247-4868
  • Fax: 774-247-4859
Mailing address:
  • Phone: 401-433-4172
  • Fax: 401-433-6012

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPTL89705
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: