Healthcare Provider Details

I. General information

NPI: 1861279168
Provider Name (Legal Business Name): JMZ PHYSICAL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2023
Last Update Date: 09/11/2023
Certification Date: 09/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

718 AQUIDNECK AVE
MIDDLETOWN RI
02842
US

IV. Provider business mailing address

110 COMPTON VIEW DR
MIDDLETOWN RI
02842-7613
US

V. Phone/Fax

Practice location:
  • Phone: 401-575-1890
  • Fax:
Mailing address:
  • Phone: 401-575-1890
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JAMIE MEY
Title or Position: OWNER
Credential: DPT
Phone: 401-575-1890