Bay State Physical Therapy Pc | |
235 Plain St Ste 307, Providence, RI 02905-3243 | |
(781) 961-3370 | |
(781) 961-1291 |
Full Name | Bay State Physical Therapy Pc |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 235 Plain St Ste 307, Providence, 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 |
---|---|---|---|
1194387191 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Jodie B Humphrey |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1730334392 PECOS PAC ID: 5092602151 Enrollment ID: I20040303000077 |
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 | Michelle C Clark |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1811132798 PECOS PAC ID: 5991761744 Enrollment ID: I20041203000615 |
Provider Name | Alicia A Mancini |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1528131927 PECOS PAC ID: 0840200341 Enrollment ID: I20060427000742 |
Provider Name | Lisa Meehan |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1407885908 PECOS PAC ID: 7214948074 Enrollment ID: I20060509000360 |
Provider Name | Ann M Bissonnette |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1447323845 PECOS PAC ID: 7618056532 Enrollment ID: I20080505000190 |
Provider Name | Amy Brown |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1881723526 PECOS PAC ID: 1850459173 Enrollment ID: I20081015000244 |
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 | John Michael Ware |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1225475031 PECOS PAC ID: 4486883667 Enrollment ID: I20140211000139 |
Provider Name | Karyn Ashley Roda |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1376955575 PECOS PAC ID: 2466671870 Enrollment ID: I20140917002067 |
Provider Name | Pablo E Rodriguez |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1760891089 PECOS PAC ID: 7810117330 Enrollment ID: I20141006001350 |
Provider Name | Timothy M Haitz |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1922417542 PECOS PAC ID: 1254551583 Enrollment ID: I20141008000758 |
Provider Name | Michael Calcagni |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1417369554 PECOS PAC ID: 0547481137 Enrollment ID: I20141023002232 |
Provider Name | Michael Butler |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1366856767 PECOS PAC ID: 1456674795 Enrollment ID: I20160802002139 |
Provider Name | Kathleen C Coughlin |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1699198416 PECOS PAC ID: 7214169564 Enrollment ID: I20190925003067 |
Provider Name | Matthew Rajotte |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1528080033 PECOS PAC ID: 3072576560 Enrollment ID: I20191018000232 |
Provider Name | Michelle J Meunier |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1457860207 PECOS PAC ID: 0042585911 Enrollment ID: I20191121000061 |
Provider Name | Albert M Sgambato |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1265079008 PECOS PAC ID: 0749614576 Enrollment ID: I20200102001249 |
Provider Name | Eva Von Witzky |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1811501448 PECOS PAC ID: 8820416621 Enrollment ID: I20200910001731 |
Provider Name | Lauren Tavares |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1831653930 PECOS PAC ID: 5597172817 Enrollment ID: I20210401000937 |
Provider Name | Barbara K Chlaupek |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1952072654 PECOS PAC ID: 0547658676 Enrollment ID: I20211022000895 |
Provider Name | John Judd |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1598195521 PECOS PAC ID: 9133423528 Enrollment ID: I20220127001382 |
Provider Name | Scott R Hamel |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1548785892 PECOS PAC ID: 2264704303 Enrollment ID: I20220308000825 |
Provider Name | Michael J Gray |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1679878995 PECOS PAC ID: 7012396161 Enrollment ID: I20220620001297 |
Provider Name | Courtney Cameron |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1699493536 PECOS PAC ID: 1951785112 Enrollment ID: I20220907002546 |
Provider Name | Danielle Makucevich |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1538853080 PECOS PAC ID: 2264890813 Enrollment ID: I20230614002112 |
Provider Name | Savannah Rose Yablonski |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1174145486 PECOS PAC ID: 6507224318 Enrollment ID: I20230626002256 |
Provider Name | James Perry |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1275219107 PECOS PAC ID: 0446619415 Enrollment ID: I20230709000080 |
Provider Name | Ryan Dube |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1861131195 PECOS PAC ID: 4284019670 Enrollment ID: I20230907002678 |
Provider Name | Kimberley Chula-maguire |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1023397908 PECOS PAC ID: 1759555071 Enrollment ID: I20231221000330 |
Provider Name | John L Braun |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1699838748 PECOS PAC ID: 8628244324 Enrollment ID: I20240229003532 |
Provider Name | Kaylie Beeson |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1700584158 PECOS PAC ID: 2668845231 Enrollment ID: I20240424002122 |
Mailing Address | Practice Location Address |
---|---|
Bay State Physical Therapy Pc 703 Granite St Ste 300, Braintree, MA 02184-5350 Ph: (781) 961-3370 | Bay State Physical Therapy Pc 235 Plain St Ste 307, Providence, RI 02905-3243 Ph: (781) 961-3370 |
Conor D. Bray, P.T., D.P.T Physical Therapist Medicare: Medicare Enrolled Practice Location: 49 Seekonk St, Providence, RI 02906 Phone: 401-726-7100 | |
Nicholas Ford, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 49 Seekonk St, Providence, RI 02906 Phone: 401-726-7100 | |
Mr. Thomas H. Wheeler, MMSC, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 830 Chalkstone Ave, Providence, RI 02908 Phone: 401-273-7100 | |
Mrs. Erin Kelli Dasilva, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 765 Allens Ave, Providence, RI 02905 Phone: 401-444-5020 Fax: 401-444-4181 | |
Angela Marie Lostritto, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 49 Seekonk St, Providence, RI 02906 Phone: 401-230-1126 | |
Alaina Lynn Denoncour, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 285 Promenade St, Providence, RI 02908 Phone: 401-459-4001 Fax: 401-459-4006 | |
Eileen T Tainsh, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 593 Eddy St, George Clinic, Providence, RI 02903 Phone: 401-444-3201 Fax: 401-444-6115 |