Heidi Sweetman, MSPT

Individual provider Active NPI Physical Therapist · Exeter, RI

NPI 1124089776 · NPPES record last updated Jan 25, 2021

Key facts

NPI
1124089776
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PT01778 (RI)
Practice address
400 S County TRL Ste A205
Exeter, RI 02822-3540
Phone
(401) 295-2374
Fax
(401) 295-2370
NPI assigned
Mar 31, 2006
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

400 S County TRL
Suite A205
Exeter, RI 02822-3540
Phone (401) 295-2374

Medicare participation

Medicare fee-for-service enrollment
Enrolled in RI

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20040504000319 RI Practitioner - Physical Therapist in Private Practice 2365430840 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
PT01778RIMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT01778 RI Yes

Addresses

Primary practice location

400 S County TRL Ste A205
Exeter, RI 02822-3540

Mailing address

400 S County TRL Ste A205
Exeter, RI 02822-3540
Phone (401) 295-2374

Other identifiers

IdentifierTypeStateIssuer
410059OtherRIBLUECHIP PROVIDER NUMBER
7633548OtherRIAETNA PROVIDER NUMBER
27221-8OtherRIBCBS PROVIDER NUMBER

Other providers in Exeter, RI

All providers in Exeter, RI · Physical Therapist in Rhode Island

Sources for this page

Verify at the official NPI Registry.