Active NPI
Michaela L. Santomassimo, PT
- Physical Therapist
- Warwick, RI
National Provider Identifier
1154590750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 001568
- Practice address
- 600 Common Wealth Avenue
Warwick, RI 02886-2779 - Phone
- (401) 691-4511
- NPI assigned
- Feb 27, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 001568 | RI | Primary |
Addresses
Primary practice location
600 Common Wealth Avenue
Warwick, RI 02886-2779
Mailing address
34 Blue Ridge Rd
Cranston, RI 02920-4522
Phone (401) 943-4645
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 |
|---|---|---|---|
| 001568 | RI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204070400000",
"number": "1154590750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 BLUE RIDGE RD",
"city": "CRANSTON",
"state": "RI",
"postal_code": "029204522",
"telephone_number": "401-943-4645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 COMMON WEALTH AVENUE",
"city": "WARWICK",
"state": "RI",
"postal_code": "028862779",
"telephone_number": "401-691-4511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTOMASSIMO",
"first_name": "MICHAELA",
"middle_name": "L.",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-27",
"last_updated": "2008-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "RI",
"license": "001568",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warwick, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.