Active NPI
Claudia S Flobil Heredia, PT,DPT
- Physical Therapist
- Johnston, RI
National Provider Identifier
1568045771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT03498
- Practice address
- 1412 Atwood Ave
Johnston, RI 02919-4821 - Phone
- (401) 213-8799
- NPI assigned
- May 5, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 047039-1 | NY | |
| Physical Therapist | 225100000X | PT03498 | RI | Primary |
Addresses
Primary practice location
1412 Atwood Ave
Johnston, RI 02919-4821
Mailing address
1412 Atwood Ave
Johnston, RI 02919-4821
Phone (401) 213-8799
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 047039-1 | NY | MD | Physical Therapist |
| PT03498 | RI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
Locations
1412 Atwood Ave
Johnston, RI 02919
Phone (401) 213-8799
535 Centerville Rd
Ste 101
Warwick, RI 02886
Phone (401) 737-4581
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Warwick, RI
- NPI 1225123565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664323200000",
"number": "1568045771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1412 ATWOOD AVE",
"city": "JOHNSTON",
"state": "RI",
"postal_code": "029194821",
"telephone_number": "401-213-8799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1412 ATWOOD AVE",
"city": "JOHNSTON",
"state": "RI",
"postal_code": "029194821",
"telephone_number": "401-213-8799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLOBIL HEREDIA",
"first_name": "CLAUDIA",
"middle_name": "S",
"credential": "PT,DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-05",
"last_updated": "2022-09-28",
"certification_date": "2022-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "047039-1",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "RI",
"license": "PT03498",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Johnston, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; 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.