Organization Active NPI

All Coast Physical Therapy, Inc.

  • Physical Medicine & Rehabilitation Physician
  • Pawtucket, RI
National Provider Identifier
1235422262
Registry record updated Aug 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
PT02095 Issued in RI
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, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
ALL COAST PHYSICAL THERAPY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 28, 2019

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

Authorized official

Name
Mr. Bryan C Silva, MSPTNPI 1912151911
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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20110726000751 RI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4789852369 Receives reassigned benefits from 1 practitioner
Practice locations: Pawtucket, RI

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.

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.

Verify at the official NPI Registry.