Active NPI
Dino Robert Mencarini, PHYSICAL THERAPIST
- Physical Therapist
- Woonsocket, RI
National Provider Identifier
1114124229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PY00982
- Practice address
- 30 Cumberland St
4TH Floor
Woonsocket, RI 02895-3341 - Phone
- (774) 991-1875
- Fax
- (774) 244-4404
- NPI assigned
- Jul 2, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PY00982 | RI | Primary |
Addresses
Primary practice location
30 Cumberland St
4TH Floor
Woonsocket, RI 02895-3341
Mailing address
30 Cumberland St
4TH Floor
Woonsocket, RI 02895-3341
Phone (774) 991-1875
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9572 | MA | MD | Clinical Psychologist |
| PY00982 | RI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450310400000",
"number": "1114124229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 CUMBERLAND ST",
"address_2": "4TH FLOOR",
"city": "WOONSOCKET",
"state": "RI",
"postal_code": "028953341",
"telephone_number": "774-991-1875",
"fax_number": "774-244-4404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 CUMBERLAND ST",
"address_2": "4TH FLOOR",
"city": "WOONSOCKET",
"state": "RI",
"postal_code": "028953341",
"telephone_number": "774-991-1875",
"fax_number": "774-244-4404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENCARINI",
"first_name": "DINO",
"middle_name": "ROBERT",
"name_prefix": "Mr.",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-02",
"last_updated": "2015-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "RI",
"license": "PY00982",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woonsocket, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.