Organization Active NPI

Ullucci Sports Medicine & Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • East Providence, RI
National Provider Identifier
1417918871
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ULLUCCI SPORTS MEDICINE & PHYSICAL THERAPY, INC.
Practice address
1235 Wampanoag TRL
East Providence, RI 02915-1231
Phone
(401) 433-1500
Fax
(401) 433-1517
NPI assigned
Mar 28, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Paul A Ullucci Jr., PT, LATC, SCS, CSCS
Title
President
Phone
(401) 433-1500

Specialties & licenses 1

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

Addresses

Primary practice location

1235 Wampanoag TRL
East Providence, RI 02915-1231

Mailing address

1235 Wampanoag TRL
East Providence, RI 02915-1231
Phone (401) 433-1500

National Provider Directory

National Provider Directory

Locations

1235 Wampanoag Trl
Riverside, RI 02915
Phone (401) 433-1500

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417918871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 WAMPANOAG TRL",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029151231",
            "telephone_number": "401-433-1500",
            "fax_number": "401-433-1517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 WAMPANOAG TRL",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029151231",
            "telephone_number": "401-433-1500",
            "fax_number": "401-433-1517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULLUCCI SPORTS MEDICINE & PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ULLUCCI",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-433-1500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PT, LATC, SCS, CSCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.