Maddy'S Med-Clinics LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

MADDY'S MED-CLINICS LLC

Practice address

1239 Hartford Ave
Johnston, RI 02919-7137

Phone

(401) 451-5635

Fax

(401) 451-5636

NPI assigned

Nov 12, 2020

Organization subpart

No

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

Authorized official

Name

Americo Testa, DC

Title

Owner

Phone

(401) 451-5635

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1605139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612396800000",
    "number": "1083216352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1239 HARTFORD AVE",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029197137",
            "telephone_number": "401-451-5635",
            "fax_number": "401-451-5636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1239 HARTFORD AVE",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029197137",
            "telephone_number": "401-451-5635",
            "fax_number": "401-451-5636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADDY'S MED-CLINICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-12",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A",
        "authorized_official_last_name": "TESTA",
        "authorized_official_first_name": "AMERICO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-451-5635",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica Machado
• Marykate Machardy
• Susan J Maciag, R.PH.
• David Mackall, LCSW
• Alexandra Haley Mackenzie, APRN, PMHNP-BC
• Maddys Medical LLC
• Cynthia Antoinette Mahoney, RN
• Madison Lynn Mailloux, PT, DPT
• Majors Medical Supply
• Paul Mallari, PA-C

• Chiropractor in Johnston, RI
• Providers in Johnston, RI by specialty
• Chiropractor in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; 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.