Nurturing Wellness Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

NURTURING WELLNESS PHYSICAL THERAPY

Practice address

1560 Stony LN
North Kingstown, RI 02852-2914

Phone

(401) 379-9971

NPI assigned

Feb 9, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Maryhelen E. Gustafson, DPTNPI 1821324740

Title

Physical Therapist

Phone

(401) 379-9971

Specialties & licenses 1

Addresses

Other names 1

• Nurturing Wellness Physical Therapy Former legal business name

Practitioners 1

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

• Mary Helen E. Gustafson, DPT

  • Physical Therapist
  • Barrington, RI
  • NPI 1821324740
  NPD Authorized official

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

{
    "created_epoch": "1644364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644364800000",
    "number": "1164176079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 STONY LN",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028522914",
            "telephone_number": "401-379-9971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 STONY LN",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028522914",
            "telephone_number": "401-379-9971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURTURING WELLNESS PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-09",
        "last_updated": "2022-02-09",
        "certification_date": "2022-01-19",
        "status": "A",
        "authorized_official_last_name": "GUSTAFSON",
        "authorized_official_first_name": "MARYHELEN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "401-379-9971",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nurturing Wellness Physical Therapy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Michael J Nunnery, CPO
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• Physical Therapy Clinic/Center in North Kingstown, RI
• Providers in North Kingstown, RI by specialty
• Physical Therapy Clinic/Center in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; 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.