Provider Demographics
NPI:1689299547
Name:ADAPTABLE PHYSICAL THERAPY AND CONSULTING, LLC
Entity Type:Organization
Organization Name:ADAPTABLE PHYSICAL THERAPY AND CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTEN
Authorized Official - Middle Name:TRACY
Authorized Official - Last Name:GROSS
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:401-903-2442
Mailing Address - Street 1:4 WOODBINE AVE
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:RI
Mailing Address - Zip Code:02806-1030
Mailing Address - Country:US
Mailing Address - Phone:401-903-2442
Mailing Address - Fax:
Practice Address - Street 1:4 WOODBINE AVE
Practice Address - Street 2:
Practice Address - City:BARRINGTON
Practice Address - State:RI
Practice Address - Zip Code:02806-1030
Practice Address - Country:US
Practice Address - Phone:401-903-2442
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-16
Last Update Date:2020-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty