Organization Active NPI

Anchor Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Wakefield, RI
National Provider Identifier
1336685221
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT01978 Issued in RI
Legal business name
ANCHOR PHYSICAL THERAPY LLC
Practice address
46 Holley St
Ste 3
Wakefield, RI 02879-3326
Phone
(401) 284-0770
NPI assigned
Jan 16, 2017
Last updated
Sep 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Authorized official

Name
Mr. Mark A Torok, MS, PT, MBANPI 1467555912
Title
Owner
Phone
(401) 284-0770

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT01978 RI Primary

Addresses

Primary practice location

46 Holley St
Ste 3
Wakefield, RI 02879-3326

Mailing address

46 Holley St
Ste 3
Wakefield, RI 02879-3326
Phone (401) 714-4627

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170530000718 RI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0345517165 Receives reassigned benefits from 3 practitioners
Practice locations: Wakefield, RI

National Provider Directory

National Provider Directory

Locations

46 Holley St
Ste 3
Wakefield, RI 02879
Phone (401) 284-0770

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1484524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725580800000",
    "number": "1336685221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 HOLLEY ST",
            "address_2": "STE 3",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028793326",
            "telephone_number": "401-714-4627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 HOLLEY ST",
            "address_2": "STE 3",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028793326",
            "telephone_number": "401-284-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCHOR PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-16",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A",
        "authorized_official_last_name": "TOROK",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-284-0770",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, PT, MBA"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "RI",
            "license": "PT01978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wakefield, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; 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.

Verify at the official NPI Registry.