Active NPI
Marina Reis Marinho Nogueira, DPT
- Physical Therapist
- Riverside, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT03295
- Practice address
- 375 Wampanoag TRL Ste 403
Riverside, RI 02915-2237 - Phone
- (401) 270-8770
- Fax
- (401) 270-8772
- NPI assigned
- Oct 21, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT03295 | RI | Primary |
Addresses
Primary practice location
375 Wampanoag TRL Ste 403
Riverside, RI 02915-2237
Mailing address
4 Richmond SQ Ste 200
Providence, RI 02906-5117
Phone (401) 433-4172
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT03295 | RI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Silver Fern Practice, LLC | Physical Therapist | Current | Accepting new patients |
| Silver Fern Practice, LLC | Physical Therapist | Current | Accepting new patients |
| Pelvic Health & Wellness LLC | Physical Therapist | Current | Accepting new patients |
Locations
4 Richmond Sq
Ste 200
Providence, RI 02906
375 Wampanoag Trl
Ste 403
Riverside, RI 02915
Phone (401) 270-8770
41 Sanderson Rd
Ste 101
Smithfield, RI 02917
Phone (401) 349-4540
469 Centerville Rd
Ste 101
Warwick, RI 02886
Phone (401) 320-7101
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Warwick, RI
- NPI 1194319475
Physical Therapist
-
- Physical Therapist
- Providence, RI
- NPI 1851472914
-
- Physical Therapist
- Smithfield, RI
- NPI 1013583426
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603238400000",
"number": "1265031264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 RICHMOND SQ STE 200",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029065117",
"telephone_number": "401-433-4172",
"fax_number": "401-433-0612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 WAMPANOAG TRL STE 403",
"city": "RIVERSIDE",
"state": "RI",
"postal_code": "029152237",
"telephone_number": "401-270-8770",
"fax_number": "401-270-8772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REIS MARINHO NOGUEIRA",
"first_name": "MARINA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-21",
"last_updated": "2020-10-21",
"certification_date": "2020-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "RI",
"license": "PT03295",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; 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.