Healthcare Provider Details

I. General information

NPI: 1811062961
Provider Name (Legal Business Name): PHYSIOTHERAPY ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/22/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1160 POST RD SUITE 8
WARWICK RI
02888-3265
US

IV. Provider business mailing address

211 NORTH ST
ELKTON MD
21921-5512
US

V. Phone/Fax

Practice location:
  • Phone: 401-941-9111
  • Fax: 401-941-5906
Mailing address:
  • Phone: 410-620-4795
  • Fax: 410-620-4869

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. JUD HOFF
Title or Position: GENERAL MANAGER
Credential:
Phone: 901-685-7227