Marybeth McGovern, MS, PT

Primary specialty

Sports Physical TherapistTaxonomy code 2251S0007X

License

RI943 Issued in RI

Practice address

66 Nooseneck Hill Rd
West Greenwich, RI 02817-1523

Phone

(401) 397-8399

Fax

(401) 397-8398

NPI assigned

Oct 25, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1991

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Coventry Physical Therapy & Sports Medicine, Inc.

  • Physical Therapist
  • West Greenwich, RI
  • NPI 1720149768

  Sports

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1730263815",
    "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": {
        "last_name": "MCGOVERN",
        "first_name": "MARYBETH",
        "name_prefix": "Ms.",
        "credential": "MS, PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "RI",
            "license": "RI943",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "RI",
            "license": "943",
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "RI",
            "license": "943",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakeside Dental, Inc.
• Cynthia Livsey, LMHC
• James Daniel Lovinsky, DACM, LAC
• Angela McCann, ND, DAOM
• Emily McGovern
• Jennifer K Michailides, RPH, CGP
• Lyana Miller, RN
• Karissa Mlyniec, MASTERS
• Jacob Patrick Moran, DC
• Jennifer A Morgan, OTR/L, CHT

• Sports Physical Therapist in West Greenwich, RI
• Providers in West Greenwich, RI by specialty
• Sports Physical Therapist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; 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.