Chimeng Justin Thao

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA01448 Issued in RI

Practice address

588 Pawtucket Ave
Pawtucket, RI 02860-6057

Phone

(401) 728-6500

NPI assigned

Apr 27, 2026

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1777248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1497691810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 MARBLEHEAD AVE",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029044267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "588 PAWTUCKET AVE",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028606057",
            "telephone_number": "401-728-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAO",
        "first_name": "CHIMENG",
        "middle_name": "JUSTIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-04-27",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "RI",
            "license": "PTA01448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manuela Teixeira
• Pedro Luis Teixeira Sr., D.D.S.
• Rita A Teixeira
• Kaitlyn Rae Terrio, DO
• Lori-Ann Tetreault, BSW, LCDP
• Neelam Thapa, M.D.
• The Arc of Balckstone Valley
• The Arc of Blacksstone Valley
• The Arc of Blackstone Valley
• The Arc of Blackstone Valley

• Physical Therapy Assistant in Pawtucket, RI
• Providers in Pawtucket, 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 Apr 27, 2026; 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.