Individual provider Active NPI

Kevin P Raksnis, DPT

  • Physical Therapist
  • Charlestown, RI
National Provider Identifier
1194173526
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
4259 Old Post Road
Unit 6
Charlestown, RI 02813
Phone
(401) 364-0100
NPI assigned
May 26, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

4259 Old Post Road
Unit 6
Charlestown, RI 02813

Mailing address

2440 Gold Star Hwy
Suite 201
Mystic, CT 06355
Phone (860) 536-1001

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240828000644 RI Practitioner - Physical Therapist in Private Practice 3971882622 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CJS Physical Therapy Services IncGroup PAC ID 4981092749, 8 clinicians

Practice addresses (Care Compare)

91 Point Judith Rd
Suite D7
Narragansett, RI 02882-3489
Phone (401) 584-9098

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
CJS Physical Therapy Services Inc Physical Therapist CurrentSince Jul 1, 2024 Accepting new patients

Locations

91 Point Judith Rd
Ste D7
Point Judith, RI 02882
Phone (401) 584-9098

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1194173526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 GOLD STAR HWY",
            "address_2": "SUITE 201",
            "city": "MYSTIC",
            "state": "CT",
            "postal_code": "06355",
            "telephone_number": "860-536-1001",
            "fax_number": "860-536-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4259 OLD POST ROAD",
            "address_2": "UNIT 6",
            "city": "CHARLESTOWN",
            "state": "RI",
            "postal_code": "02813",
            "telephone_number": "401-364-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAKSNIS",
        "first_name": "KEVIN",
        "middle_name": "P",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-26",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlestown, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.