Healthcare Provider Details

I. General information

NPI: 1558036913
Provider Name (Legal Business Name): PHYSICAL THERAPY PROFESSIONALS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2021
Last Update Date: 02/07/2022
Certification Date: 02/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

43 JEFFERSON BLVD
WARWICK RI
02888-1027
US

IV. Provider business mailing address

43 JEFFERSON BLVD STE 3
WARWICK RI
02888-1078
US

V. Phone/Fax

Practice location:
  • Phone: 401-414-7625
  • Fax: 401-919-5672
Mailing address:
  • Phone: 401-414-7625
  • Fax: 401-919-5672

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. CARA A MCLINDEN
Title or Position: PRESIDENT
Credential: PT
Phone: 401-414-7625