Kyla Sand, PT | |
1808 Main Rd, Tiverton, RI 02878-4625 | |
(401) 625-9855 | |
(401) 625-9856 |
Full Name | Kyla Sand |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 1808 Main Rd, Tiverton, Rhode Island |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306804042 | NPI | - | NPPES |
64-00296 | Other | RI | UNITED HEALTH |
13859 | Other | RI | NEIGHBOR HOOD HEALTH PLAN |
412576 | Other | RI | RI BLUE CHIP |
PT01939 | Other | RI | TRI-CARE |
29534-7 | Other | RI | RI BLUE CROSS BLUE SHEILD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT01939 (Rhode Island) | Primary |
Provider Name | Form & Function Physical Therapy And Sports Medicine Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1629486550 PECOS PAC ID: 6901122936 Enrollment ID: O20150310000180 |
Mailing Address | Practice Location Address |
---|---|
Kyla Sand, PT 9 Barney Ct, Apt R, Newport, RI 02840-2919 Ph: (401) 595-2944 | Kyla Sand, PT 1808 Main Rd, Tiverton, RI 02878-4625 Ph: (401) 625-9855 |
Lori Buckley, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 18 Frazier Ln, Tiverton, RI 02878 Phone: 401-624-4946 | |
Ina Frances Raposa, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1812 Main Rd, Tiverton, RI 02878 Phone: 401-625-9855 Fax: 401-625-9856 | |
Sarah Shaver, Physical Therapist Medicare: Medicare Enrolled Practice Location: 300 Industrial Way Fl 3, Tiverton, RI 02878 Phone: 401-726-7100 Fax: 401-240-1410 | |
Highbar Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 300 Industrial Way Fl 3, Tiverton, RI 02878 Phone: 401-726-7100 | |
Chelsea Manchester Noel, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2633 Main Rd, Tiverton, RI 02878 Phone: 401-474-3734 Fax: 401-624-6561 | |
Jessica Brooke Chaves, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 31 Shove St, Tiverton, RI 02878 Phone: 401-624-4743 Fax: 401-624-9152 |