Individual provider Active NPI

Jillian S Stolgitis, PT

  • Physical Therapist
  • Providence, RI
National Provider Identifier
1588675987
Registry record updated Dec 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT01810 Issued in RI
Practice address
1000 Eddy St
Providence, RI 02905-4739
Phone
(401) 533-9100
Fax
(401) 933-9102
NPI assigned
Aug 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT01810 RI Primary

Addresses

Primary practice location

1000 Eddy St
Providence, RI 02905-4739

Mailing address

1000 Eddy St
Providence, RI 02905-4739
Phone (401) 533-9100

Other identifiers 5

IdentifierTypeStateIssuer
411356OtherRIRHODE ISLAND BLUECHIP
610805800OtherRIFEDERAL WORKERS COMPENSAT
06400314OtherRIUNITED HEALTHCARE
27735OtherRIRHODE ISLAND BLUE CROSS
4259OtherRINEIGHBORHOOD HEALTH PLAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, CT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040203000219 RI Practitioner - Physical Therapist in Private Practice 6800789181 Reassigns benefits to 1 organization
I20240424003570 CT Practitioner - Physical Therapist in Private Practice 6800789181 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT01810RIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Inspire Physical Therapy and Wellness, LLC Physical Therapist CurrentSince Mar 1, 2024 Accepting new patients
Proactive Physical Therapy, Inc. Physical Therapist PastSince Jan 1, 1999 Accepting new patients

Locations

1353 Gold Star Hwy
#213
Groton, CT 06340
Phone (401) 600-1683

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386547200000",
    "number": "1588675987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 EDDY ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029054739",
            "telephone_number": "401-533-9100",
            "fax_number": "401-533-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 EDDY ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029054739",
            "telephone_number": "401-533-9100",
            "fax_number": "401-933-9102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLGITIS",
        "first_name": "JILLIAN",
        "middle_name": "S",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2013-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "PT01810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RHODE ISLAND BLUECHIP",
            "identifier": "411356",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL WORKERS COMPENSAT",
            "identifier": "610805800",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "06400314",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RHODE ISLAND BLUE CROSS",
            "identifier": "27735",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "4259",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2013; 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.