Individual provider Active NPI

Akira DO

  • Physical Therapist
  • Pawtucket, RI
National Provider Identifier
1497084156
Registry record updated Dec 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
18840 Issued in MA
Practice address
545 Pawtucket Ave
Unit 402
Pawtucket, RI 02860-6046
Phone
(401) 475-5775
Fax
(401) 475-5776
NPI assigned
Dec 9, 2009
Last updated
Dec 9, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 18840 MA Primary
Physical Therapist 225100000X PT02349 RI

Addresses

Primary practice location

545 Pawtucket Ave
Unit 402
Pawtucket, RI 02860-6046

Mailing address

545 Pawtucket Ave
Unit 402
Pawtucket, RI 02860-6046
Phone (401) 475-5775

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

LicenseStateTypeSpecialty
18840MAMDPhysical Therapist
PT02349RIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Fern Practice, LLC Physical Therapist Past Accepting new patients
Orthopedic and Sports Physical Therapy, LLP Physical Therapist PastSince Jun 3, 1999 Accepting new patients
Fusion - Osmed Mso, LLC PastSince Sep 29, 2024 Accepting new patients
Orthosports & Aquatic Physical Therapy, PC Physical Therapist PastSince Feb 26, 1999 Accepting new patients
Ortho & Sports Physical Therapy Past Accepting new patients

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": "1260316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291852800000",
    "number": "1497084156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 PAWTUCKET AVE",
            "address_2": "UNIT 402",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028606046",
            "telephone_number": "401-475-5775",
            "fax_number": "401-475-5776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 PAWTUCKET AVE",
            "address_2": "UNIT 402",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028606046",
            "telephone_number": "401-475-5775",
            "fax_number": "401-475-5776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DO",
        "first_name": "AKIRA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-09",
        "last_updated": "2010-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "18840",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "PT02349",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawtucket, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; 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.