Active NPI
Ryan Davia
- Physical Therapist
- Warwick, RI
National Provider Identifier
1487102638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 02924
- Practice address
- 535 Centerville Rd
Suite 101
Warwick, RI 02886-4486 - Phone
- (401) 737-4581
- Fax
- (401) 737-4811
- NPI assigned
- Sep 16, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 02924 | RI | Primary |
Addresses
Primary practice location
535 Centerville Rd
Suite 101
Warwick, RI 02886-4486
Mailing address
535 Centerville Rd
Suite 101
Warwick, RI 02886-4486
Phone (401) 737-4581
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02924 | RI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concierge Physical Therapy, Inc. | Current | Accepting new patients |
Locations
307 Grafton St
Ste 103
Shrewsbury, MA 01545
Phone (508) 841-5037
211 Worcester Providence Tpke
#T
Sutton, MA 01590
64 Worcester Providence Tpke
Sutton, MA 01590
Phone (508) 861-1010
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Sutton, MA
- NPI 1164935862
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473984000000",
"number": "1487102638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "535 CENTERVILLE RD",
"address_2": "SUITE 101",
"city": "WARWICK",
"state": "RI",
"postal_code": "028864486",
"telephone_number": "401-737-4581",
"fax_number": "401-737-4811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 CENTERVILLE RD",
"address_2": "SUITE 101",
"city": "WARWICK",
"state": "RI",
"postal_code": "028864486",
"telephone_number": "401-737-4581",
"fax_number": "401-737-4811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIA",
"first_name": "RYAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-09-16",
"last_updated": "2016-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "RI",
"license": "02924",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warwick, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.