Healthcare Provider Details

I. General information

NPI: 1003758780
Provider Name (Legal Business Name): NATALIE MARIE CALO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

982 TIOGUE AVE STE 202
COVENTRY RI
02816-6167
US

IV. Provider business mailing address

982 TIOGUE AVE STE 202
COVENTRY RI
02816-6167
US

V. Phone/Fax

Practice location:
  • Phone: 401-615-3140
  • Fax: 401-615-8611
Mailing address:
  • Phone: 401-615-3140
  • Fax: 401-615-8611

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT00913-G
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: