Matrix Sports Medicine & Physical Therapy Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

PT01736 Issued in RI

Legal business name

MATRIX SPORTS MEDICINE & PHYSICAL THERAPY INC

Practice address

233 Eddie Dowling Hwy
North Smithfield, RI 02896-8213

Phone

(401) 474-1293

NPI assigned

May 3, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Victoria Kent Hueston, MSPTNPI 1003874678

Title

President/Physical Therapist

Phone

(401) 474-1293

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Locations

Practitioners 5

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.

• Victoria Kent Hueston, MSPT

  • Specialist
  • Narragansett, RI
  • NPI 1003874678
  Medicare reassignment Care Compare group NPD Authorized official
• Ronald Bryan Minear, DPT

  • Physical Therapist
  • Bethpage, NY
  • NPI 1366225583

  RI

  Medicare reassignment Care Compare group NPD
• Mary Keough

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • East Providence, RI
  • NPI 1235785239
  Medicare reassignment NPD
• James C Sullivan, DPM

  • Podiatrist
  • North Smithfield, RI
  • NPI 1740296086
  NPD (past)
• Karen M. Sullivan, P.T.

  • Physical Therapist
  • Cumberland, RI
  • NPI 1174638415
  NPD (past)

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205894532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 EDDIE DOWLING HWY",
            "city": "NORTH SMITHFIELD",
            "state": "RI",
            "postal_code": "028968213",
            "telephone_number": "401-474-1293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 EDDIE DOWLING HWY",
            "city": "NORTH SMITHFIELD",
            "state": "RI",
            "postal_code": "028968213",
            "telephone_number": "401-474-1293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATRIX SPORTS MEDICINE & PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUESTON",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "KENT",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "401-474-1293",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "RI",
            "license": "PT01736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Marie Maccarone, PTA
• Kyle Malesra, DMD
• Rima Mallouh
• Marcotte Physical Therapy, Inc
• Benjamin Marks
• Allison Louise McAteer, MD
• John Douglas McDonald Jr., M.A., LPC
• Thomas E McGunigal, M.D.
• Gloria A McLaughlin, PHARMD
• Gina M McLellan, DPT

• Specialist in North Smithfield, RI
• Providers in North Smithfield, RI by specialty
• Specialist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.