NPIMap

Organization Active NPI

Body Mechanix Physical Therapy, Inc.

Doing business as Rhode Island Rehabilitation South

  • Physical Therapy Clinic/Center
  • Wakefield, RI
National Provider Identifier
1114014792
Registry record updated Sep 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
BODY MECHANIX PHYSICAL THERAPY, INC.
Doing business as
Rhode Island Rehabilitation South
Practice address
163 Main St
Wakefield, RI 02879-3504
Phone
(401) 782-4049
Fax
(401) 782-0890
NPI assigned
Oct 6, 2006
Last updated
Sep 22, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2009

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

Authorized official

Name
Mrs. Karen Ann Agostinucci, PTNPI 1861416588
Title
Clinical Director
Phone
(401) 782-4049

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

163 Main St
Wakefield, RI 02879-3504

Mailing address

163 Main St
Wakefield, RI 02879-3504
Phone (401) 782-4049

Other names 1

  • Rhode Island Rehabilitation South Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051024000490 RI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2769408210 Receives reassigned benefits from 8 practitioners
Practice locations: Wakefield, RI

National Provider Directory

National Provider Directory

Locations

163 Main St
Wakefield, RI 02879
Phone (401) 782-4049

Practitioners & affiliated clinicians

Practitioners 12

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": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253577600000",
    "number": "1114014792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 MAIN ST",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028793504",
            "telephone_number": "401-782-4049",
            "fax_number": "401-782-0890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 MAIN ST",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028793504",
            "telephone_number": "401-782-4049",
            "fax_number": "401-782-0890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY MECHANIX PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2009-09-22",
        "status": "A",
        "authorized_official_last_name": "AGOSTINUCCI",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "401-782-4049",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rhode Island Rehabilitation South",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wakefield, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2009; 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.