Provider Demographics
NPI:1417369554
Name:CALCAGNI, MICHAEL (DPT)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:
Last Name:CALCAGNI
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 BOSTON NECK RD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:NARRAGANSETT
Mailing Address - State:RI
Mailing Address - Zip Code:02882
Mailing Address - Country:US
Mailing Address - Phone:401-363-0333
Mailing Address - Fax:401-363-0363
Practice Address - Street 1:750 BOSTON NECK RD
Practice Address - Street 2:SUITE 2
Practice Address - City:NARRAGANSETT
Practice Address - State:RI
Practice Address - Zip Code:02882
Practice Address - Country:US
Practice Address - Phone:401-363-0333
Practice Address - Fax:401-363-0363
Is Sole Proprietor?:No
Enumeration Date:2014-05-23
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI02688225100000X
RIPT02688225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist