Cynthia Anne Gagne, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00735 Issued in RI

Practice address

100 Smithfield Ave
Pawtucket, RI 02860-3497

Phone

(401) 725-9666

Fax

(401) 727-2750

NPI assigned

Mar 8, 2007

Last updated

Mar 27, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Park Square Physical Therapy

  • Physical Therapist
  • Woonsocket, RI
  • NPI 1780971176
  NPD (past)

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364342400000",
    "number": "1144351669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SMITHFIELD AVE",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028603497",
            "telephone_number": "401-725-9666",
            "fax_number": "401-727-2750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SMITHFIELD AVE",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028603497",
            "telephone_number": "401-725-9666",
            "fax_number": "401-727-2750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAGNE",
        "first_name": "CYNTHIA",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2013-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "PT00735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BS BLUE CHIP",
            "identifier": "412989",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Frommelt
• Devlin Jean Frost, PA-C
• Francia Fung, LCDP
• Funsmiles, Inc
• Christopher Mathew Furey, M.D.
• Rodolfo M Galinatti, PA-C
• Angela Gallo
• Cheryl Gamache
• Kyle Normand Gamache, LMHC, QMHP
• Dimitri George Ganim, DDS

• Physical Therapist in Pawtucket, RI
• Providers in Pawtucket, RI by specialty
• Physical Therapist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; 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.