Provider Demographics
NPI:1336187186
Name:HARRINGTON, THOMAS GILBERT (MSPT)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:GILBERT
Last Name:HARRINGTON
Suffix:
Gender:M
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 BAYBERRY HILL DR
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:RI
Mailing Address - Zip Code:02864-3306
Mailing Address - Country:US
Mailing Address - Phone:401-333-9239
Mailing Address - Fax:
Practice Address - Street 1:16 ARNOLD ST
Practice Address - Street 2:
Practice Address - City:WOONSOCKET
Practice Address - State:RI
Practice Address - Zip Code:02895-2902
Practice Address - Country:US
Practice Address - Phone:401-765-2030
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-03
Last Update Date:2011-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIPT00451225100000X
MA4416225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI09519OtherBC PROVIDER #
RI09519OtherBC PROVIDER #