MEDICARE: JEAN-PAUL LEANDER CYR DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT03011	RI

General Provider Information

NPI Number	:	1164911756
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEAN-PAUL LEANDER CYR DPT

Provider Business Mailing Address
First Line	:	535 CENTERVILLE RD STE 101
Second Line	:
City	:	WARWICK
State	:	RI
Zip	:	02886-4376
Country	:	US
Telephone Number	:	401-737-6011
Fax Number	:

Provider Business Practice Location Address
First Line	:	7540 POST RD
Second Line	:
City	:	NORTH KINGSTOWN
State	:	RI
Zip	:	02852-3901
Country	:	US
Telephone Number	:	401-329-0050
Fax Number	:	401-329-0051

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/09/2018
Last Update Date	:	04/06/2026

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