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General NPI Number Information
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NPI Number | 1265378681
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Entity Type | Organization
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Legal Business Name | PROCARE PHYSICAL THERAPY
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Dates
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Enumeration Date | 04/27/2026
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Last Update Date | 04/27/2026
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Provider Practice Location Address
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Address Line | 588 PAWTUCKET AVE
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City | PAWTUCKET
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State | RI
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Zip | 02860-6057
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Country | US
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Telephone | 401-282-8052
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Fax |
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Provider Business Mailing Address
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Address Line | 3 BENEFIT ST
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City | WESTERLY
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State | RI
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Zip | 02891-2312
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Country | US
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Telephone | 401-282-8052
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST ASSISTANT
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Name | MR. JOSHUA M SHELTON
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Credential |
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Telephone | 401-282-8052
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number |
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License Number State |
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