Individual provider Active NPI

Andrew Guay, DPT

  • Physical Therapist
  • Smithfield, RI
National Provider Identifier
1053087346
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT03412 Issued in RI
Practice address
900 Douglas Pike Ste D
Smithfield, RI 02917-1879
Phone
(401) 214-9910
Fax
(401) 214-9950
NPI assigned
Aug 18, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT03412 RI Primary

Addresses

Primary practice location

900 Douglas Pike Ste D
Smithfield, RI 02917-1879

Mailing address

4 Richmond SQ Ste 200
Providence, RI 02906-5117
Phone (401) 433-4172

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210825003094 RI Practitioner - Physical Therapist in Private Practice 6204231434 Reassigns benefits to 1 organization
I20240210000248 MA Practitioner - Physical Therapist in Private Practice 6204231434 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT03412RIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Fern Practice, LLC Physical Therapist CurrentSince May 24, 2021 Accepting new patients
Silver Fern Practice, LLC Physical Therapist CurrentSince May 24, 2021 Accepting new patients
Elite Sports, Inc. Physical Therapist CurrentSince Dec 11, 2023 Accepting new patients
Elite Health and Fitness PastSince Dec 11, 2023 Accepting new patients

Locations

97 Green St
#2
Foxborough, MA 02035
Phone (781) 297-0979

4 Richmond Sq
Ste 200
Providence, RI 02906

900 Douglas Pike
Ste D
Smithfield, RI 02917
Phone (401) 214-9910

41 Sanderson Rd
Ste 101
Smithfield, RI 02917
Phone (401) 349-4540

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1053087346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 RICHMOND SQ STE 200",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029065117",
            "telephone_number": "401-433-4172",
            "fax_number": "401-433-0612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 DOUGLAS PIKE STE D",
            "city": "SMITHFIELD",
            "state": "RI",
            "postal_code": "029171879",
            "telephone_number": "401-214-9910",
            "fax_number": "401-214-9950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUAY",
        "first_name": "ANDREW",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-18",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "PT03412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithfield, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.