Provider Demographics
NPI:1891869830
Name:PHYSIOTHERAPY ASSOCIATES
Entity Type:Organization
Organization Name:PHYSIOTHERAPY ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THEARPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:TANIA
Authorized Official - Middle Name:CARMELA
Authorized Official - Last Name:MASELLI
Authorized Official - Suffix:
Authorized Official - Credentials:MS,OTRL
Authorized Official - Phone:401-941-9111
Mailing Address - Street 1:1160 POST RD
Mailing Address - Street 2:SUITE 8
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02888-3265
Mailing Address - Country:US
Mailing Address - Phone:401-941-9111
Mailing Address - Fax:401-941-5906
Practice Address - Street 1:1160 POST RD
Practice Address - Street 2:SUITE 8
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02888-3265
Practice Address - Country:US
Practice Address - Phone:401-941-9111
Practice Address - Fax:401-941-5906
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Single Specialty