NPIMap

Organization Active NPI

Coventry Physical Therapy & Sports Medicine, Inc.

  • Physical Therapist
  • West Greenwich, RI
National Provider Identifier
1720149768
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
RI943 Issued in RI
Legal business name
COVENTRY PHYSICAL THERAPY & SPORTS MEDICINE, INC.
Practice address
66 Nooseneck Hill Rd
West Greenwich, RI 02817-1523
Phone
(401) 397-8399
Fax
(401) 397-8398
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Authorized official

Name
Ms. Marybeth McGovern, MS, PTNPI 1730263815
Title
Owner
Phone
(401) 397-8399

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X RI943 RI Primary

Addresses

Primary practice location

66 Nooseneck Hill Rd
West Greenwich, RI 02817-1523

Mailing address

66 Nooseneck Hill Rd
West Greenwich, RI 02817-1523
Phone (401) 397-8399

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150731014256 RI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7911211255 Receives reassigned benefits from 1 practitioner
Practice locations: West Greenwich, RI

National Provider Directory

National Provider Directory

Locations

66 Nooseneck Hill Rd
Ste 1
West Greenwich, RI 02817
Phone (401) 397-8399

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773878400000",
    "number": "1720149768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 NOOSENECK HILL RD",
            "city": "WEST GREENWICH",
            "state": "RI",
            "postal_code": "028171523",
            "telephone_number": "401-397-8399",
            "fax_number": "401-397-8398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 NOOSENECK HILL RD",
            "city": "WEST GREENWICH",
            "state": "RI",
            "postal_code": "028171523",
            "telephone_number": "401-397-8399",
            "fax_number": "401-397-8398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENTRY PHYSICAL THERAPY & SPORTS MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A",
        "authorized_official_last_name": "MCGOVERN",
        "authorized_official_first_name": "MARYBETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-397-8399",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "RI943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Greenwich, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.