Individual provider Active NPI

Christine M Vollucci, MS PT

  • Physical Therapist
  • Narragansett, RI
National Provider Identifier
1104854595
Registry record updated May 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT01502 Issued in RI
Practice address
140 Point Judith Rd
Suite 47
Narragansett, RI 02882-3477
Phone
(401) 789-2077
Fax
(401) 782-4762
NPI assigned
Jun 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2013

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 PT01502 RI Primary

Addresses

Primary practice location

140 Point Judith Rd
Suite 47
Narragansett, RI 02882-3477

Mailing address

37 Arcadia Dr
North Kingstown, RI 02852-4601
Phone (401) 398-9447

Other identifiers 2

IdentifierTypeStateIssuer
406099OtherBLUE CHIP
290155OtherBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050214000872 RI Practitioner - Physical Therapist in Private Practice 1658323068 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proactive Physical Therapy IncGroup PAC ID 9537054648, 7 clinicians

Practice addresses (Care Compare)

140 Point Judith Rd
Suite 47
Narragansett, RI 02882-3477
Phone (401) 789-2077

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Proactive Physical Therapy, Inc. Physical Therapist CurrentSince Jan 6, 2012 Accepting new patients
Elite Physical Therapy, LLC Physical Therapist Past Accepting new patients

Locations

140 Point Judith Rd
Ste 47
Point Judith, RI 02882
Phone (401) 789-2077

Organizations & group practices 2

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368835200000",
    "number": "1104854595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 ARCADIA DR",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028524601",
            "telephone_number": "401-398-9447",
            "fax_number": "401-463-5808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 POINT JUDITH RD",
            "address_2": "SUITE 47",
            "city": "NARRAGANSETT",
            "state": "RI",
            "postal_code": "028823477",
            "telephone_number": "401-789-2077",
            "fax_number": "401-782-4762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOLLUCCI",
        "first_name": "CHRISTINE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "MS PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2013-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "PT01502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "406099",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "290155",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Narragansett, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.