Provider Demographics
NPI:1558036913
Name:PHYSICAL THERAPY PROFESSIONALS INC
Entity Type:Organization
Organization Name:PHYSICAL THERAPY PROFESSIONALS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CARA
Authorized Official - Middle Name:A
Authorized Official - Last Name:MCLINDEN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:401-414-7625
Mailing Address - Street 1:43 JEFFERSON BLVD STE 3
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02888-1078
Mailing Address - Country:US
Mailing Address - Phone:401-414-7625
Mailing Address - Fax:401-919-5672
Practice Address - Street 1:43 JEFFERSON BLVD
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02888-1027
Practice Address - Country:US
Practice Address - Phone:401-414-7625
Practice Address - Fax:401-919-5672
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-09
Last Update Date:2022-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical TherapyGroup - Single Specialty