Active NPI
All Coast Physical Therapy, Inc.
- Physical Medicine & Rehabilitation Physician
- Pawtucket, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- PT02095
- Legal business name
- ALL COAST PHYSICAL THERAPY, INC.
- Practice address
- 126 Prospect St Ste 101
Pawtucket, RI 02860-4429 - Phone
- (401) 480-2572
- Fax
- (401) 383-9729
- NPI assigned
- May 24, 2011
- Last updated
- Aug 28, 2019
- Organization subpart
- Yes
- Parent organization
- ALL COAST PHYSICAL THERAPY, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Bryan C Silva, MSPT
- Title
- Physical Therapist/President
- Phone
- (401) 480-2572
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | PT02095 | RI | Primary |
| Physical Therapist | 225100000X | PT02095 | RI |
Addresses
Primary practice location
126 Prospect St Ste 101
Pawtucket, RI 02860-4429
Mailing address
21 Rich Street
Rumford, RI 02916-1831
Phone (401) 480-2572
Other practice location 1
21 Rich Street
Rumford, RI 02916-1831
Phone (401) 480-2572
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
Enrollment records 1
National Provider Directory
National Provider Directory- Part of
- All Coast Physical Therapy Inc
Locations
126 Prospect St
Ste 101
Pawtucket, RI 02860
Phone (401) 365-4060
225 Newman Ave
#200
Rumford, RI 02916
Phone (401) 480-2572
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.
-
- Physical Therapist
- Pawtucket, RI
- NPI 1912151911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306195200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1566950400000",
"number": "1235422262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 RICH STREET",
"city": "RUMFORD",
"state": "RI",
"postal_code": "029161831",
"telephone_number": "401-480-2572",
"fax_number": "401-383-9729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "126 PROSPECT ST STE 101",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028604429",
"telephone_number": "401-480-2572",
"fax_number": "401-383-9729"
}
],
"practiceLocations": [
{
"address_1": "21 Rich Street",
"address_purpose": "LOCATION",
"city": "Rumford",
"state": "RI",
"postal_code": "029161831",
"country_code": "US",
"telephone_number": "401-480-2572",
"fax_number": "401-383-9729",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ALL COAST PHYSICAL THERAPY, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ALL COAST PHYSICAL THERAPY, INC.",
"enumeration_date": "2011-05-24",
"last_updated": "2019-08-28",
"status": "A",
"authorized_official_last_name": "SILVA",
"authorized_official_first_name": "BRYAN",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PHYSICAL THERAPIST/PRESIDENT",
"authorized_official_telephone_number": "401-480-2572",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MSPT"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "RI",
"license": "PT02095",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "RI",
"license": "PT02095",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pawtucket, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; 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.