Janice E Chamberlain, P.T., A.T., C.

Individual provider Active NPI Physical Therapist · Westerly, RI

NPI 1013069665 · NPPES record last updated Apr 12, 2018

Key facts

NPI
1013069665
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PT01366 (RI)
Practice address
85 Beach St
Building D
Westerly, RI 02891
Phone
(401) 348-8112
Fax
(401) 348-7009
NPI assigned
Jan 16, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
Northwestern University Feinberg Medical School, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metro Physical Occupational and Speech Therapy of CT LLC (13 clinicians)

Practice addresses (Care Compare)

14 Clara Dr
Suite 3
Mystic, CT 06355-1973
Phone (860) 845-0851

85 Beach St
Westerly, RI 02891-2717
Phone (401) 348-8112

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in RI, CT

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20050817000131 RI Practitioner - Physical Therapist in Private Practice 6103856448 Reassigns benefits to 1 organization
I20180626000475 CT Practitioner - Physical Therapist in Private Practice 6103856448 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
5116CTMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Physical Occupational and Speech Therapy of CT LLC Physical Therapist Current
since Jan 15, 2024
Accepting new patients

Locations

969 Poquonnock Rd
Groton, CT 06340
Phone (860) 967-7342

14 Clara Dr
Ste 3
Mystic, CT 06355
Phone (860) 245-0851

800 E Gate Blvd
Garden City, NY 11530

1 James P Murphy Ind Hwy
Ste 103
West Warwick, RI 02893
Phone (401) 615-0648

85 Beach St
Bldg D
Westerly, RI 02891
Phone (401) 348-8112

85 Beach St
Westerly, RI 02891
Phone (401) 348-8112

85 Beach St
#D
Westerly, RI 02891
Phone (401) 348-8112

55 Beach St
Ste 9
Westerly, RI 02891
Phone (401) 348-8112

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT01366 RI Yes

Addresses

Primary practice location

85 Beach St
Building D
Westerly, RI 02891

Mailing address

85 Beach St
Building D
Westerly, RI 02891
Phone (401) 348-8112

Other providers in Westerly, RI

All providers in Westerly, RI · Physical Therapist in Rhode Island

Sources for this page

Verify at the official NPI Registry.