Provider Demographics
NPI:1235422262
Name:ALL COAST PHYSICAL THERAPY, INC.
Entity Type:Organization
Organization Name:ALL COAST PHYSICAL THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:C
Authorized Official - Last Name:SILVA
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT
Authorized Official - Phone:401-480-2572
Mailing Address - Street 1:21 RICH STREET
Mailing Address - Street 2:
Mailing Address - City:RUMFORD
Mailing Address - State:RI
Mailing Address - Zip Code:02916-1831
Mailing Address - Country:US
Mailing Address - Phone:401-480-2572
Mailing Address - Fax:401-383-9729
Practice Address - Street 1:126 PROSPECT ST STE 101
Practice Address - Street 2:
Practice Address - City:PAWTUCKET
Practice Address - State:RI
Practice Address - Zip Code:02860-4429
Practice Address - Country:US
Practice Address - Phone:401-480-2572
Practice Address - Fax:401-383-9729
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALL COAST PHYSICAL THERAPY, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-05-24
Last Update Date:2019-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIPT02095208100000X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty