Active NPI
Mark R Langlois
- Physical Therapy Assistant
- Greenville, RI
National Provider Identifier
1710643093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 00882
- Practice address
- 735 Putnam Pike
Greenville, RI 02828-1435 - Phone
- (401) 949-1200
- NPI assigned
- Nov 11, 2021
- Last updated
- Nov 11, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 00882 | RI | Primary |
Addresses
Primary practice location
735 Putnam Pike
Greenville, RI 02828-1435
Mailing address
15 Lynn Dr
Coventry, RI 02816-6542
Phone (401) 368-0819
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00882 | RI | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636588800000",
"number": "1710643093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 LYNN DR",
"city": "COVENTRY",
"state": "RI",
"postal_code": "028166542",
"telephone_number": "401-368-0819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "735 PUTNAM PIKE",
"city": "GREENVILLE",
"state": "RI",
"postal_code": "028281435",
"telephone_number": "401-949-1200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANGLOIS",
"first_name": "MARK",
"middle_name": "R",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-11-11",
"last_updated": "2021-11-11",
"certification_date": "2021-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "RI",
"license": "00882",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.