Jared Allen, PT
Individual provider Active NPI Physical Therapist · Cranston, RI
NPI 1316837784 · NPPES record last updated Jul 8, 2025
Key facts
- NPI
- 1316837784
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT04003 (RI)
- Practice address
- 800 Reservoir Ave
Cranston, RI 02910-4426 - Phone
- (401) 946-4250
- NPI assigned
- Jul 8, 2025
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bay State Physical Therapy PC
Practice addresses (Care Compare)
800 Reservoir Ave
Cranston, RI 02910-4426
Phone (401) 946-4250
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in RI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250711003410 | RI | Practitioner - Physical Therapist in Private Practice | 6709391402 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay State Physical Therapy PC | Physical Therapist | Current |
Accepting new patients |
Locations
703 Granite St
Ste 300
Braintree, MA 02184
Phone (603) 626-4205
800 Reservoir Ave
Cranston, RI 02910
Phone (401) 946-4250
235 Plain St
Ste 307
Providence, RI 02905
Phone (401) 414-4601
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT04003 | RI | Yes |
Addresses
Primary practice location
800 Reservoir Ave
Cranston, RI 02910-4426
Mailing address
703 Granite St Ste 3
Braintree, MA 02184-5350
Phone (781) 807-6138
Other providers in Cranston, RI
- Madiha Amjad Ali
- Megan M. Allaire
- April Allen
- Brendan Allen
- Gregory G Allen
- Alliance Human Service, Inc.
- Massiel F Almond Frias
- Elena M Almonte
- Rachel Almonte
- Elizabeth A Aloisio
All providers in Cranston, RI · Physical Therapist in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.