Active NPI
Kerri Lee Ialongo Gillette, P.T.
- Orthopedic Physical Therapist
- North Kingstown, RI
National Provider Identifier
1700919602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 1253
- Practice address
- 38 Brown St
North Kingstown, RI 02852-5039 - Phone
- (401) 954-1807
- Fax
- (401) 295-5002
- NPI assigned
- Mar 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 1253 | RI | Primary |
Addresses
Primary practice location
38 Brown St
North Kingstown, RI 02852-5039
Mailing address
69 Chestnut Rd
North Kingstown, RI 02852-3904
Phone (401) 954-1807
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263945600000",
"number": "1700919602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "69 CHESTNUT RD",
"city": "NORTH KINGSTOWN",
"state": "RI",
"postal_code": "028523904",
"telephone_number": "401-954-1807",
"fax_number": "401-295-5002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38 BROWN ST",
"city": "NORTH KINGSTOWN",
"state": "RI",
"postal_code": "028525039",
"telephone_number": "401-954-1807",
"fax_number": "401-295-5002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLETTE",
"first_name": "KERRI",
"middle_name": "LEE IALONGO",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-13",
"last_updated": "2010-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Orthopedic",
"state": "RI",
"license": "1253",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Kingstown, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.