Kathryn Marie Sacco
Individual provider Active NPI Physical Therapist · Richmond, RI
NPI 1235495243 · NPPES record last updated Jan 8, 2018
Key facts
- NPI
- 1235495243
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT02391 (RI)
- Practice address
- 12 Stilson Rd
Richmond, RI 02898-1026 - Phone
- (401) 726-7100
- Fax
- (401) 722-9386
- NPI assigned
- Apr 3, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Metro Physical Occupational and Speech Therapy of CT LLC
Practice addresses (Care Compare)
55 Beach St
Westerly, RI 02891-2770
Phone (401) 348-1010
85 Beach St
Westerly, RI 02891-2717
Phone (401) 348-8112
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in RI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121206000535 | RI | Practitioner - Physical Therapist in Private Practice | 0143472696 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009130 | CT | MD | Physical Therapist |
| AT00272 | RI | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Napatree Physical Therapy Inc | Physical Therapist | Current |
Accepting new patients |
| Silver Fern Practice, LLC | Physical Therapist | Current |
Accepting new patients |
| Napatree Physical Therapy Inc | Current |
Accepting new patients | |
| Silver Fern Practice, LLC | Physical Therapist | Current |
Accepting new patients |
| Metro Physical Occupational and Speech Therapy of CT LLC | Physical Therapist | Current |
Accepting new patients |
Locations
800 E Gate Blvd
Garden City, NY 11530
4 Richmond Sq
Ste 200
Providence, RI 02906
41 Sanderson Rd
Ste 101
Smithfield, RI 02917
Phone (401) 349-4540
85 Beach St
Westerly, RI 02891
Phone (401) 348-8112
55 Beach St
Ste 1
Westerly, RI 02891
Phone (401) 348-1010
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 009130 | CT | |
| Athletic Trainer | 2255A2300X | AT00272 | RI | |
| Physical Therapist | 225100000X | PT02391 | RI | Yes |
Addresses
Primary practice location
12 Stilson Rd
Richmond, RI 02898-1026
Mailing address
4 Richmond SQ Ste 200
Providence, RI 02906-5117
Phone (401) 433-4172
Other providers in Richmond, RI
- Perspectives Corporation
- Perspectives Corporation
- Lenore Plante
- Emily Pucino
- Kathleen Rafanelli
- Wendy Sanford
- Beth Sardelli
- Daniel Schuetz
- Lauren Elizabeth Shanley
- Silver Fern Practice, LLC
All providers in Richmond, RI · Physical Therapist in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.