NPIMap

Organization Active NPI

Nestor Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • North Smithfield, RI
National Provider Identifier
1184052185
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT02296 Issued in RI
Legal business name
NESTOR PHYSICAL THERAPY LLC
Practice address
261 Main St Ste 101
North Smithfield, RI 02896-7919
Phone
(401) 356-4777
NPI assigned
Oct 29, 2013
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Stephen F Nestor III, PT, DPT, COMTNPI 1457432254
Title
Owner/Physical Therapist
Phone
(617) 970-7881

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT02296 RI Primary

Addresses

Primary practice location

261 Main St Ste 101
North Smithfield, RI 02896-7919

Mailing address

261 Main St Ste 101
North Smithfield, RI 02896-7900
Phone (401) 356-4777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140220000456 RI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0244460160 Receives reassigned benefits from 1 practitioner
Practice locations: North Smithfield, RI

National Provider Directory

National Provider Directory

Locations

261 Main St
Ste 101
North Smithfield, RI 02896
Phone (401) 356-4777

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1184052185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 MAIN ST STE 101",
            "city": "NORTH SMITHFIELD",
            "state": "RI",
            "postal_code": "028967900",
            "telephone_number": "401-356-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 MAIN ST STE 101",
            "city": "NORTH SMITHFIELD",
            "state": "RI",
            "postal_code": "028967919",
            "telephone_number": "401-356-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NESTOR PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-29",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "NESTOR",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "617-970-7881",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "PT, DPT, COMT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "RI",
            "license": "PT02296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Smithfield, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.