Organization Active NPI

Living Essence Physical Therapy & Herbal Pharmacy, LLC

  • Physical Therapist
  • North Kingstown, RI
National Provider Identifier
1225218563
Registry record updated Nov 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1253 Issued in RI
Legal business name
LIVING ESSENCE PHYSICAL THERAPY & HERBAL PHARMACY, LLC
Practice address
38 Brown St
2ND Floor, Front
North Kingstown, RI 02852-5039
Phone
(401) 954-1807
Fax
(401) 295-5002
NPI assigned
Nov 4, 2007
Last updated
Nov 4, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2007

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

Authorized official

Name
Mrs. Kerri Lee Ialongo Gillette, PTNPI 1700919602
Title
Owner/ Practioner
Phone
(401) 954-1807

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 1253 RI Primary

Addresses

Primary practice location

38 Brown St
2ND Floor, Front
North Kingstown, RI 02852-5039

Mailing address

69 Chestnut Rd
North Kingstown, RI 02852-3904
Phone (401) 954-1807

National Provider Directory

National Provider Directory

Locations

99 Frenchtown Rd
East Greenwich, RI 02818
Phone (401) 884-6456

Practitioners & affiliated clinicians

Practitioners 1

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": "1194134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194134400000",
    "number": "1225218563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 CHESTNUT RD",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028523904",
            "telephone_number": "401-954-1807",
            "fax_number": "401-295-5002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 BROWN ST",
            "address_2": "2ND FLOOR, FRONT",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028525039",
            "telephone_number": "401-954-1807",
            "fax_number": "401-295-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING ESSENCE PHYSICAL THERAPY & HERBAL PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-04",
        "last_updated": "2007-11-04",
        "status": "A",
        "authorized_official_last_name": "GILLETTE",
        "authorized_official_first_name": "KERRI",
        "authorized_official_middle_name": "LEE IALONGO",
        "authorized_official_title_or_position": "OWNER/ PRACTIONER",
        "authorized_official_telephone_number": "401-954-1807",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "1253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Kingstown, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.