Active NPI
Rose Marie Cazzani
- Physical Therapy Assistant
- Cranston, RI
National Provider Identifier
1255711883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PT00404
- Practice address
- 45 E Bel Air Rd
Cranston, RI 02920-4525 - Phone
- (401) 392-0564
- Fax
- (401) 435-4231
- NPI assigned
- Jun 9, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | PTA00404 | RI | |
| Physical Therapy Assistant | 225200000X | PT00404 | RI | Primary |
Addresses
Primary practice location
45 E Bel Air Rd
Cranston, RI 02920-4525
Mailing address
45 E Bel Air Rd
Cranston, RI 02920-4525
Phone (401) 338-0125
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255711883 | Other | NPI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pt404@verizon.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA00404 | RI | MD | Physical Medicine & Rehabilitation Physician |
| PT00404 | RI | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572307200000",
"number": "1255711883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 E BEL AIR RD",
"city": "CRANSTON",
"state": "RI",
"postal_code": "029204525",
"telephone_number": "401-338-0125",
"fax_number": "401-435-4231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 E BEL AIR RD",
"city": "CRANSTON",
"state": "RI",
"postal_code": "029204525",
"telephone_number": "401-392-0564",
"fax_number": "401-435-4231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAZZANI",
"first_name": "ROSE MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-09",
"last_updated": "2019-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "RI",
"license": "PTA00404",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "RI",
"license": "PT00404",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1255711883",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pt404@verizon.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "45 E Bel Air Rd",
"city": "Cranston",
"state": "RI",
"country_code": "US",
"postal_code": "029204525",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Cranston, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.