Individual provider Active NPI

Eric D Isenberg, PT

  • Physical Therapist
  • Middletown, RI
National Provider Identifier
1689868879
Registry record updated Feb 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT02109 Issued in RI
Practice address
1181 Aquidneck Ave
Olympic Physicial Therapy
Middletown, RI 02842
Phone
(401) 845-0840
Fax
(401) 845-0842
NPI assigned
Aug 30, 2007
Last updated
Feb 2, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2009

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 PT02109 RI Primary

Addresses

Primary practice location

1181 Aquidneck Ave
Olympic Physicial Therapy
Middletown, RI 02842

Mailing address

1181 Aquidneck Ave
Olympic Physicial Therapy
Middletown, RI 02842
Phone (401) 845-0840

Other identifiers 1

IdentifierTypeStateIssuer
PT02109OtherRIMEDICARE ID-TYPE UNSPECIFIED

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071220000435 RI Practitioner - Physical Therapist in Private Practice 8426148990 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pappas Physical Therapy LLCGroup PAC ID 2567708233, 80 clinicians

Practice addresses (Care Compare)

1524 Atwood Ave
Suite LL2
Johnston, RI 02919-3228
Phone (401) 383-5299

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pappas Physical Therapy LLC CurrentSince Jan 29, 2020 Accepting new patients
Pappas Physical Therapy LLC Physical Therapist CurrentSince Jan 29, 2020 Accepting new patients
Lepre Physical Therapy of North Providence, LLC Physical Therapist Past Accepting new patients

Locations

236 County Rd
Barrington, RI 02806
Phone (401) 245-8855

652 Wood St
Bristol, RI 02809
Phone (401) 253-3710

1100 Reservoir Ave
Cranston, RI 02910
Phone (401) 785-1016

1524 Atwood Ave
Ste LL2
Johnston, RI 02919
Phone (401) 276-9180

2 Wake Robin Rd
Ste 101
Lincoln, RI 02865
Phone (401) 333-1747

1181 Aquidneck Ave
Middletown, RI 02842
Phone (401) 845-0840

1812 Main Rd
Tiverton, RI 02878
Phone (401) 625-9855

2191 Post Rd
Warwick, RI 02886
Phone (401) 351-0515

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233532800000",
    "number": "1689868879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1181 AQUIDNECK AVE",
            "address_2": "OLYMPIC PHYSICIAL THERAPY",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "02842",
            "telephone_number": "401-845-0840",
            "fax_number": "401-845-0842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1181 AQUIDNECK AVE",
            "address_2": "OLYMPIC PHYSICIAL THERAPY",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "02842",
            "telephone_number": "401-845-0840",
            "fax_number": "401-845-0842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISENBERG",
        "first_name": "ERIC",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-30",
        "last_updated": "2009-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "PT02109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-TYPE UNSPECIFIED",
            "identifier": "PT02109",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.