Provider Demographics
NPI:1457534604
Name:MCVAY PHYSICAL THERAPY
Entity Type:Organization
Organization Name:MCVAY PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF PHYSICAL THERAPY
Authorized Official - Prefix:DR
Authorized Official - First Name:JEREMY
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:MCVAY
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:401-643-1776
Mailing Address - Street 1:18 MAPLE AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:RI
Mailing Address - Zip Code:02806-3561
Mailing Address - Country:US
Mailing Address - Phone:401-643-1776
Mailing Address - Fax:401-694-0965
Practice Address - Street 1:18 MAPLE AVE STE 1
Practice Address - Street 2:
Practice Address - City:BARRINGTON
Practice Address - State:RI
Practice Address - Zip Code:02806-3561
Practice Address - Country:US
Practice Address - Phone:401-643-1776
Practice Address - Fax:401-694-0965
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-11
Last Update Date:2021-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty