| Northern Ri Physical Therapy | |
|
1 Garnett Ln, Suite 3, Greenville, RI 02828-1414 | |
| (401) 949-0380 | |
| (401) 949-5581 |
| Full Name | Northern Ri Physical Therapy |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1 Garnett Ln, Greenville, Rhode Island |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033166657 | NPI | - | NPPES |
| 75277 | Other | RI | RI BLUE CROSS |
| 402381 | Other | RI BLUE CHIP | |
| 411376 | Other | RI BLUE CHIP | |
| 411376 | Other | RI | RI BLUE CHIP |
| 640014E | Other | UNITED HEALTH NE | |
| 402508 | Other | RI BLUE CHIP | |
| 410188 | Other | RI BLUE CHIP | |
| 402512 | Other | RI BLUE CHIP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT01833 (Rhode Island) | Primary |
| Provider Name | Kim Marie R Dumas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790708444 PECOS PAC ID: 1951397538 Enrollment ID: I20040421000081 |
| Provider Name | Amanda Keegan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700824414 PECOS PAC ID: 3870773948 Enrollment ID: I20111116000449 |
| Provider Name | Andrea Ross |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023058997 PECOS PAC ID: 0042490112 Enrollment ID: I20111118000045 |
| Provider Name | Sean Patrick Crowley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366637266 PECOS PAC ID: 1456525757 Enrollment ID: I20111123000340 |
| Provider Name | Kathryn Pereira |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225619828 PECOS PAC ID: 8224431697 Enrollment ID: I20210722001068 |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Ri Physical Therapy 1 Garnett Ln, Suite 3, Greenville, RI 02828-1414 Ph: (401) 949-0380 | Northern Ri Physical Therapy 1 Garnett Ln, Suite 3, Greenville, RI 02828-1414 Ph: (401) 949-0380 |
Ms. Andrea Ross, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: One Garnett Lane, Northern Ri Physical Therapy, Greenville, RI 02828 Phone: 401-949-0380 Fax: 401-949-5581 | |
Mrs. Michelle Pereira, MS.PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 11 Roger Williams Dr, Greenville, RI 02828 Phone: 401-949-5350 | |
Ms. Laura Jean Young, PT MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Garnett Ln, Northern Ri Physical Therapy, Greenville, RI 02828 Phone: 401-949-0380 Fax: 401-949-5581 | |
Mrs. Nicole Renee Tremblay, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Garnett Ln, Greenville, RI 02828 Phone: 401-949-0380 Fax: 401-949-5581 | |
Mr. Sean Patrick Crowley, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1 Garnett Ln, Greenville, RI 02828 Phone: 401-949-0380 Fax: 401-949-5581 | |
Mr. Mark A Ruzzo, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: One Garnet Lane, Suite 3, Greenville, RI 02828 Phone: 401-949-0380 Fax: 401-949-5581 |