Matthew Phillips

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA01113 Issued in RI

Practice address

261 Main St
Suite 101
North Smithfield, RI 02896-7919

Phone

(401) 356-4777

NPI assigned

Aug 30, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Nestor Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • North Smithfield, RI
  • NPI 1184052185
  NPD (past)

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

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472515200000",
    "number": "1265988273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 MAIN ST",
            "address_2": "SUITE 101",
            "city": "NORTH SMITHFIELD",
            "state": "RI",
            "postal_code": "028967919",
            "telephone_number": "401-356-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 MAIN ST",
            "address_2": "SUITE 101",
            "city": "NORTH SMITHFIELD",
            "state": "RI",
            "postal_code": "028967919",
            "telephone_number": "401-356-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "MATTHEW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-30",
        "last_updated": "2016-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "RI",
            "license": "PTA01113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Ann Frances Panarello
• Kellsy Ann Parenteau
• Grace Pelletier
• Timothy J. Pepin, MSN, RN, PMHNP-BC
• Brittany Ann Nicole Pfaff, LICSW
• Physiotherapy Associates Inc
• Cathy A. Picard, N.D.
• Peggy Pionke
• Amelia A Pires, NP-C
• Sheila C Poirier, LMHC

• Physical Therapy Assistant in North Smithfield, RI
• Providers in North Smithfield, RI by specialty
• Physical Therapy Assistant in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; 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.