Organization Active NPI

Flexible Physical Therapy Inc

  • Clinic/Center
  • Providence, RI
National Provider Identifier
1366407306
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
PT01811 Issued in RI
Legal business name
FLEXIBLE PHYSICAL THERAPY INC
Practice address
845 N Main St
Suite 1B
Providence, RI 02904-5700
Phone
(401) 270-1905
Fax
(401) 270-5658
NPI assigned
Apr 20, 2006
Last updated
Aug 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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

Authorized official

Name
Mrs. Lisa M Pickett, PT
Title
Owner/President
Phone
(401) 270-1905

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X PT01811 RI Primary

Addresses

Primary practice location

845 N Main St
Suite 1B
Providence, RI 02904-5700

Mailing address

845 N Main St
Suite 1B
Providence, RI 02904-5700
Phone (401) 270-1905

National Provider Directory

National Provider Directory

Locations

579 Atwells Ave
Ste 105
Providence, RI 02909
Phone (401) 270-1905

845 N Main St
Ste 1B
Providence, RI 02904
Phone (401) 270-1905

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1366407306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 N MAIN ST",
            "address_2": "SUITE 1B",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029045700",
            "telephone_number": "401-270-1905",
            "fax_number": "401-270-5658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 N MAIN ST",
            "address_2": "SUITE 1B",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029045700",
            "telephone_number": "401-270-1905",
            "fax_number": "401-270-5658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLEXIBLE PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "PICKETT",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "401-270-1905",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "RI",
            "license": "PT01811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.