Active NPI
Kelly N Connors, PTA
- Physical Therapy Assistant
- Warren, RI
National Provider Identifier
1295274249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 01109
- Practice address
- 31 Haile St
Warren, RI 02885-4001 - Phone
- (401) 871-4779
- NPI assigned
- Feb 22, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 01109 | RI | Primary |
Addresses
Primary practice location
31 Haile St
Warren, RI 02885-4001
Mailing address
31 Haile St
Warren, RI 02885-4001
Phone (401) 871-4779
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 |
|---|---|---|---|
| 01109 | RI | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487721600000",
"number": "1295274249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 HAILE ST",
"city": "WARREN",
"state": "RI",
"postal_code": "028854001",
"telephone_number": "401-871-4779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 HAILE ST",
"city": "WARREN",
"state": "RI",
"postal_code": "028854001",
"telephone_number": "401-871-4779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNORS",
"first_name": "KELLY",
"middle_name": "N",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-22",
"last_updated": "2017-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "RI",
"license": "01109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warren, RI
- Mark Paul Casimiro, DPT
- Casey Catlin, PHD
- Nicole Maureen Cherry, PHYSICAL THERAPIST
- Chiropractic Health Partners of America LTD.
- Collaborative for Behavioral Health
- Corliss Institute, Inc.
- Christine Marie Coughlin, FNP-BC
- Crestwood Healthcare LLC
- Crestwood Nursing and Convalescent Home Inc
- Alison Crippen
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.