Caleb John Labossiere

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA00865 Issued in RI

Practice address

19 Grove Ave
Westerly, RI 02891-1824

Phone

(401) 315-2995

NPI assigned

Jul 25, 2012

Sex

Male

Sole proprietor

Yes

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

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.

• Island Physical Therapy

  • Physical Therapist
  • Westerly, RI
  • NPI 1295754232
  NPD (past)
• New England Wellness & Chronic Pain Center, P.C.

  • Clinic/Center
  • Westerly, RI
  • NPI 1881902641
  NPD (past)

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

{
    "created_epoch": "1343174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343174400000",
    "number": "1437405669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 MARSH RD",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063405619",
            "telephone_number": "860-235-9068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 GROVE AVE",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028911824",
            "telephone_number": "401-315-2995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABOSSIERE",
        "first_name": "CALEB",
        "middle_name": "JOHN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-25",
        "last_updated": "2012-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "RI",
            "license": "PTA00865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Kralicky, LICSW
• Patricia Krause, NP
• Diane Kreuter
• Stephen M Kutz, M.D., FACC
• L. Skoble MD Inc
• Peter Michael Lambrechts, PHARMD
• Charles Francis Lanzillo Jr.
• Leo Lariviere
• Bradford C Lavigne, M.D.
• David Michael Lawrence, DPM

• Physical Therapy Assistant in Westerly, RI
• Providers in Westerly, 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 Jul 25, 2012; 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.