Active NPI
Connor Eaton
- Physical Therapist
- North Providence, RI
National Provider Identifier
1538075445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT04194
- Practice address
- 1401 Douglas Ave
North Providence, RI 02904-4058 - Phone
- (401) 435-4540
- Fax
- (401) 434-4521
- NPI assigned
- Aug 20, 2026
- 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 | PT04194 | RI | Primary |
Addresses
Primary practice location
1401 Douglas Ave
North Providence, RI 02904-4058
Mailing address
4 Richmond SQ Ste 400
Providence, RI 02906-5117
Phone (401) 433-4172
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787184000000",
"number": "1538075445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 RICHMOND SQ STE 400",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029065117",
"telephone_number": "401-433-4172",
"fax_number": "401-433-0612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 DOUGLAS AVE",
"city": "NORTH PROVIDENCE",
"state": "RI",
"postal_code": "029044058",
"telephone_number": "401-435-4540",
"fax_number": "401-434-4521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EATON",
"first_name": "CONNOR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-08-20",
"last_updated": "2026-08-20",
"certification_date": "2026-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "RI",
"license": "PT04194",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.