NPIMap

Organization Active NPI

Affinity Physicians LLC.

  • Physical Therapist
  • Pawtucket, RI
National Provider Identifier
1073073375
Registry record updated Aug 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
AFFINITY PHYSICIANS LLC.
Practice address
588 Pawtucket Ave
Pawtucket, RI 02860-6057
Phone
(401) 921-6263
NPI assigned
Mar 22, 2019
Last updated
Aug 31, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
KENT COUNTY MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 31, 2020

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

Authorized official

Name
Kristi Oates
Title
Supervisor, Professional Rev Cycle
Phone
(401) 273-0641

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary
Occupational Therapist 225X00000X NU

Addresses

Primary practice location

588 Pawtucket Ave
Pawtucket, RI 02860-6057

Mailing address

455 Toll Gate Rd
Warwick, RI 02886-2759
Phone (401) 273-0641

Other practice location 1

1 Blackstone Street
3rd Floor
Providence, RI 02903
Phone (401) 453-7520

Other identifiers 1

IdentifierTypeStateIssuer
AF82916MedicaidRI

National Provider Directory

National Provider Directory
Part of
Kent Hosp Ekg Dept

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1553212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598832000000",
    "number": "1073073375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 TOLL GATE RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028862759",
            "telephone_number": "401-273-0641",
            "fax_number": "401-273-2919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "588 PAWTUCKET AVE",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028606057",
            "telephone_number": "401-921-6263"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Blackstone Street",
            "address_2": "3rd Floor",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "02903",
            "country_code": "US",
            "telephone_number": "401-453-7520",
            "fax_number": "401-453-7529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AFFINITY PHYSICIANS LLC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KENT COUNTY MEMORIAL HOSPITAL",
        "enumeration_date": "2019-03-22",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-27",
        "status": "A",
        "authorized_official_last_name": "OATES",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_title_or_position": "SUPERVISOR, PROFESSIONAL REV CYCLE",
        "authorized_official_telephone_number": "401-273-0641"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AF82916",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawtucket, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.