Mignacca Physical Therapy, LTD.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT01117 Issued in RI

Legal business name

MIGNACCA PHYSICAL THERAPY, LTD.

Practice address

697 Willett Ave
Riverside, RI 02915-2642

Phone

(401) 228-7678

Fax

(401) 228-7681

NPI assigned

Apr 10, 2010

Last updated

Oct 6, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Steven A. Mignacca, PTNPI 1952441776

Title

Owner

Phone

(401) 339-6560

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Steven A Mignacca, P.T.

  • Physical Therapist
  • Riverside, RI
  • NPI 1952441776
  Medicare reassignment NPD Authorized official
• Linda A Summerly, P.T.

  • Physical Therapist
  • Riverside, RI
  • NPI 1922148600
  NPD (past)

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

{
    "created_epoch": "1270857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475712000000",
    "number": "1518283985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "697 WILLETT AVE",
            "city": "RIVERSIDE",
            "state": "RI",
            "postal_code": "029152642",
            "telephone_number": "401-228-7678",
            "fax_number": "401-228-7681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "697 WILLETT AVE",
            "city": "RIVERSIDE",
            "state": "RI",
            "postal_code": "029152642",
            "telephone_number": "401-228-7678",
            "fax_number": "401-228-7681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIGNACCA PHYSICAL THERAPY, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-10",
        "last_updated": "2016-10-06",
        "status": "A",
        "authorized_official_last_name": "MIGNACCA",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-339-6560",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "PT01117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Medeiros, LMHC, LCDP
• Aubrey Mello
• Renee A Mensah, APRN
• Basma O Merhi, MD
• Metta Psychiatry & Wellness, LLC
• Steven A Mignacca, P.T.
• Stacey-Ann Miller, MD, MPH
• Richard P Millman, MD
• Diane E Minasian, MD
• Baila Mir, PA

• Physical Therapist in Riverside, RI
• Providers in Riverside, RI by specialty
• Physical Therapist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.