Organization Active NPI

John Ward Physical Therapy LLC

  • Physical Therapist
  • Charlestown, RI
National Provider Identifier
1609994045
Registry record updated May 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
JOHN WARD PHYSICAL THERAPY LLC
Practice address
4259 Old Post Rd
Charlestown, RI 02813-2571
Phone
(401) 364-0130
Fax
(401) 364-0130
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2013

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

Authorized official

Name
Regina M Peloso
Title
Office Manager
Phone
(401) 364-0130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

4259 Old Post Rd
Charlestown, RI 02813-2571

Mailing address

4259 Old Post Rd
Charlestown, RI 02813-2571
Phone (401) 364-0130

Other identifiers 1

IdentifierTypeStateIssuer
709003312OtherRIPTAN

National Provider Directory

National Provider Directory

Locations

4649 Old Post Rd
Unit A
Charlestown, RI 02813
Phone (401) 364-0100

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367366400000",
    "number": "1609994045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4259 OLD POST RD",
            "city": "CHARLESTOWN",
            "state": "RI",
            "postal_code": "028132571",
            "telephone_number": "401-364-0130",
            "fax_number": "401-364-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4259 OLD POST RD",
            "city": "CHARLESTOWN",
            "state": "RI",
            "postal_code": "028132571",
            "telephone_number": "401-364-0130",
            "fax_number": "401-364-0130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN WARD PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2013-05-01",
        "status": "A",
        "authorized_official_last_name": "PELOSO",
        "authorized_official_first_name": "REGINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "401-364-0130"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "709003312",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlestown, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; 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.