Brendan Ladino, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA01443 Issued in RI

Practice address

250 Scrabbletown Rd
North Kingstown, RI 02852-3016

Phone

(401) 294-6183

Fax

(401) 294-6169

NPI assigned

Jun 20, 2023

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

Locations

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.

• Form & Function Physical Therapy and Sports Medicine LLC

  • Specialist
  • North Kingstown, RI
  • NPI 1629486550
  NPD

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

{
    "created_epoch": "1687219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1346925013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 SCRABBLETOWN RD",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028523016",
            "telephone_number": "401-294-6183",
            "fax_number": "401-294-6169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 SCRABBLETOWN RD",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028523016",
            "telephone_number": "401-294-6183",
            "fax_number": "401-294-6169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LADINO",
        "first_name": "BRENDAN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-20",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "RI",
            "license": "PTA01443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaimee Kress, DPT
• Michelle Kurzbach, PMHNP
• Brian George Kwetkowski, DO
• Austin James Labbe, DMD
• Ross Labossiere, MT
• Faith C Lamunyon, LICSW
• Kathryn Laplante, PMHNP-BC
• Suzanne Larlham, PCNS
• David S. Lauterbach, MSW
• Allison M Leblanc, O.D.

• Physical Therapy Assistant in North Kingstown, RI
• Providers in North Kingstown, 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 Jun 20, 2023; 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.