Healthcare Provider Details

I. General information

NPI: 1629195151
Provider Name (Legal Business Name): SARAH FLYNN PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2007
Last Update Date: 07/22/2025
Certification Date: 07/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 TOLL GATE RD STE 205
WARWICK RI
02886-4461
US

IV. Provider business mailing address

215 TOLL GATE RD STE 205
WARWICK RI
02886-4461
US

V. Phone/Fax

Practice location:
  • Phone: 401-773-7272
  • Fax: 401-773-7273
Mailing address:
  • Phone: 401-773-7272
  • Fax: 401-773-7273

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number01823
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: