NPIMap

Individual provider Active NPI

Amy D Petrangelo, PT

  • Physical Therapist
  • Coventry, RI
National Provider Identifier
1194851501
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT01619 Issued in RI
Practice address
2075 Nooseneck Hill Rd
Coventry, RI 02816-6709
Phone
(401) 397-8399
Fax
(401) 397-8398
NPI assigned
Feb 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PT01619 RI Primary

Addresses

Primary practice location

2075 Nooseneck Hill Rd
Coventry, RI 02816-6709

Mailing address

24 S Pond Dr
Coventry, RI 02816-7971
Phone (401) 615-2501

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT01619RIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Coventry Physical Therapy & Sports Medicine, Inc. Physical Therapist Past Accepting new patients

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": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194851501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 S POND DR",
            "city": "COVENTRY",
            "state": "RI",
            "postal_code": "028167971",
            "telephone_number": "401-615-2501",
            "fax_number": "401-397-8398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 NOOSENECK HILL RD",
            "city": "COVENTRY",
            "state": "RI",
            "postal_code": "028166709",
            "telephone_number": "401-397-8399",
            "fax_number": "401-397-8398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRANGELO",
        "first_name": "AMY",
        "middle_name": "D",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "PT01619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coventry, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.