Individual provider Active NPI

Renee Carol Van Couyghen, MSPT

  • Physical Therapist
  • Kingston, RI
National Provider Identifier
1265564512
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
990 Issued in RI
Practice address
25 W Independence Way
Suite J PT Dept
Kingston, RI 02881-1124
Phone
(401) 567-5446
Fax
(401) 874-5630
NPI assigned
Mar 12, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 990 RI Primary

Addresses

Primary practice location

25 W Independence Way
Suite J PT Dept
Kingston, RI 02881-1124

Mailing address

25 West Independence Way
Suite J
Kingston, RI 02881-0810
Phone (401) 567-5446

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

LicenseStateTypeSpecialty
990RIMDPhysical Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265564512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 WEST INDEPENDENCE WAY",
            "address_2": "SUITE J",
            "city": "KINGSTON",
            "state": "RI",
            "postal_code": "028810810",
            "telephone_number": "401-567-5446",
            "fax_number": "401-874-5630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 W INDEPENDENCE WAY",
            "address_2": "SUITE J PT DEPT",
            "city": "KINGSTON",
            "state": "RI",
            "postal_code": "028811124",
            "telephone_number": "401-567-5446",
            "fax_number": "401-874-5630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN COUYGHEN",
        "first_name": "RENEE",
        "middle_name": "CAROL",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.