Organization Active NPI

Whole Health Physical Therapy

  • Physical Therapist
  • Pawtucket, RI
National Provider Identifier
1124134895
Registry record updated Jan 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00502 Issued in RI
Legal business name
WHOLE HEALTH PHYSICAL THERAPY
Practice address
409 East Ave
Suite 110
Pawtucket, RI 02860-5265
Phone
(401) 722-2225
Fax
(401) 722-2235
NPI assigned
Aug 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2008

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

Authorized official

Name
Amanda J Peloquin
Title
Account Manager
Phone
(401) 722-2225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT00502 RI Primary

Addresses

Primary practice location

409 East Ave
Suite 110
Pawtucket, RI 02860-5265

Mailing address

409 East Ave
Suite 110
Pawtucket, RI 02860-5265
Phone (401) 722-2225

Other identifiers 2

IdentifierTypeStateIssuer
4259OtherRINEIGHBORHOOD HELATH PLAN
06400314OtherRIUNITED HEALTHCARE

National Provider Directory

National Provider Directory

Locations

409 East Ave
Ste 110
Pawtucket, RI 02860
Phone (401) 722-2225

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200960000000",
    "number": "1124134895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 EAST AVE",
            "address_2": "SUITE 110",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028605265",
            "telephone_number": "401-722-2225",
            "fax_number": "401-722-2235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 EAST AVE",
            "address_2": "SUITE 110",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028605265",
            "telephone_number": "401-722-2225",
            "fax_number": "401-722-2235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLE HEALTH PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2008-01-22",
        "status": "A",
        "authorized_official_last_name": "PELOQUIN",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ACCOUNT MANAGER",
        "authorized_official_telephone_number": "401-722-2225"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "PT00502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HELATH PLAN",
            "identifier": "4259",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "06400314",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawtucket, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; 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.