PTW and CVD Enterprises LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DCP00500 Issued in RI

Legal business name

PTW AND CVD ENTERPRISES LLC

Doing business as

RI Chiropractic Health & Rehab Clinic LLC

Practice address

544A Chalkstone Ave
Providence, RI 02908-3618

Phone

(401) 569-9488

Fax

(401) 808-6388

NPI assigned

Oct 17, 2007

Last updated

Oct 17, 2007By 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

Dr. Phillip T Wong, D.C.NPI 1164449625

Title

Chiropractic Physician

Phone

(401) 569-9488

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• RI Chiropractic Health & Rehab Clinic LLC Doing business as

Locations

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.

• Phillip T Wong, D.C.

  • Chiropractor
  • Providence, RI
  • NPI 1164449625
  NPD (past) Authorized official

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1689863474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "544A CHALKSTONE AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029083618",
            "telephone_number": "401-569-9488",
            "fax_number": "401-808-6388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "544A CHALKSTONE AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029083618",
            "telephone_number": "401-569-9488",
            "fax_number": "401-808-6388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PTW AND CVD ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "401-569-9488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "RI",
            "license": "DCP00500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "670397",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSRI",
            "identifier": "31387",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RI Chiropractic Health & Rehab Clinic LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael G Prucha, MD
• Noelle Layer Pruzan, M.D.
• Lynn Ellen Przystac, RDN, LDN
• Psychiatric Physcian Consultants of Ri Inc
• Psychological Centers
• Miheer Pujara
• Alexandra Lynn Pundru, CRNA
• Nishanth Reddy Pundru, MD
• Michael Punsoni, M.D.
• Robi-Lyn Pupillo, CCC-SLP

• Chiropractor in Providence, RI
• Providers in Providence, RI by specialty
• Chiropractor in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.