Individual provider Active NPI

Brian Cruz, MSPT

  • Physical Therapist
  • Westerly, RI
National Provider Identifier
1407036890
Registry record updated Apr 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT02117 Issued in RI
Practice address
55 Beach St
Suite 1 & 2
Westerly, RI 02891-2770
Phone
(401) 348-1010
Fax
(401) 348-9550
NPI assigned
Nov 14, 2007
Last updated
Apr 6, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT02117 RI Primary

Addresses

Primary practice location

55 Beach St
Suite 1 & 2
Westerly, RI 02891-2770

Mailing address

55 Beach St
Suite 1 & 2
Westerly, RI 02891-2770
Phone (401) 348-1010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, CT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20091118000666 RI Practitioner - Physical Therapist in Private Practice 5991843526 Reassigns benefits to 2 organizations
I20110912000159 CT Practitioner - Physical Therapist in Private Practice 5991843526 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Connecticut School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metro Physical Occupational and Speech Therapy of CT LLCGroup PAC ID 0042604407, 13 clinicians

Practice addresses (Care Compare)

1 James P Murphy Ind Hwy
Suite 103
West Warwick, RI 02893-2366
Phone (401) 885-1792

14 Clara Dr
Suite 3
Mystic, CT 06355-1973
Phone (860) 845-0851

55 Beach St
Westerly, RI 02891-2770
Phone (401) 348-1010

800 E Gate Blvd
Garden City, NY 11530-2105

85 Beach St
Westerly, RI 02891-2717
Phone (401) 348-8112

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT02117RIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Napatree Physical Therapy Inc CurrentSince Apr 4, 2012 Accepting new patients
Napatree Physical Therapy Inc Physical Therapist CurrentSince Apr 4, 2012 Accepting new patients
Metro Physical Occupational and Speech Therapy of CT LLC Physical Therapist CurrentSince Nov 4, 2024 Accepting new patients
Elite Physical Therapy, LLC Physical Therapist Past Accepting new patients
North Stonington Health Center, Inc Past Accepting new patients

Locations

969 Poquonnock Rd
Groton, CT 06340
Phone (860) 967-7342

14 Clara Dr
Ste 3
Mystic, CT 06355
Phone (860) 245-0851

800 E Gate Blvd
Garden City, NY 11530

1 James P Murphy Ind Hwy
Ste 103
West Warwick, RI 02893
Phone (401) 615-0648

55 Beach St
Ste 1
Westerly, RI 02891
Phone (401) 348-1010

85 Beach St
Westerly, RI 02891
Phone (401) 348-8112

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333670400000",
    "number": "1407036890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 BEACH ST",
            "address_2": "SUITE 1 & 2",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028912770",
            "telephone_number": "401-348-1010",
            "fax_number": "401-348-9550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 BEACH ST",
            "address_2": "SUITE 1 & 2",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028912770",
            "telephone_number": "401-348-1010",
            "fax_number": "401-348-9550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "BRIAN",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-14",
        "last_updated": "2012-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "PT02117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerly, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.