Individual provider Active NPI

Hunter Minicucci

  • Orthopedic Physical Therapist
  • Warwick, RI
National Provider Identifier
1750904488
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT03287 Issued in RI
Practice address
535 Centerville Rd Ste 101
Warwick, RI 02886-4376
Phone
(401) 737-4581
NPI assigned
May 28, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X
Orthopedic Physical Therapist 2251X0800X PT03287 RI Primary

Addresses

Primary practice location

535 Centerville Rd Ste 101
Warwick, RI 02886-4376

Mailing address

535 Centerville Rd Ste 101
Warwick, RI 02886-4376
Phone (401) 737-4581

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, CT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200814001213 RI Practitioner - Physical Therapist in Private Practice 3274950647 Reassigns benefits to 3 organizations
I20250609002850 CT Practitioner - Physical Therapist in Private Practice 3274950647 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metro Physical Occupational and Speech Therapy of CT LLCGroup PAC ID 0042604407, 13 clinicians

Practice addresses (Care Compare)

1 James P Murphy Ind Hwy
Suite 103
West Warwick, RI 02893-2366
Phone (401) 885-1792

969 Poquonnock Rd
Groton, CT 06340-4257
Phone (860) 967-7342

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14930CTMDSocial Worker
PT03287RIMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedics Rhode Island, Inc CurrentSince Aug 11, 2020 Accepting new patients
Metro Physical Occupational and Speech Therapy of CT LLC Orthopedic CurrentSince Dec 16, 2024 Accepting new patients
Orthopedics Rhode Island, Inc Orthopedic CurrentSince Aug 11, 2020 Accepting new patients
Elite Physical Therapy, LLC Orthopedic CurrentSince Sep 26, 2022 Accepting new patients

Locations

969 Poquonnock Rd
Groton, CT 06340
Phone (860) 967-7342

14 Clara Dr
Ste 3
Mystic, CT 06355
Phone (860) 245-0851

800 E Gate Blvd
Garden City, NY 11530

1567 S County Trl
East Greenwich, RI 02818
Phone (401) 541-7170

900 Warren Ave
Ste 202
East Providence, RI 02914

535 Centerville Rd
Ste 101
Warwick, RI 02886
Phone (401) 737-4581

200 Crossings Blvd
Ste 310
Warwick, RI 02886

300 Crossings Blvd
Warwick, RI 02886
Phone (716) 208-1708

1 James P Murphy Ind Hwy
Ste 103
West Warwick, RI 02893
Phone (401) 615-0648

85 Beach St
Westerly, RI 02891
Phone (401) 348-8112

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1590624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1750904488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 CENTERVILLE RD STE 101",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864376",
            "telephone_number": "401-737-4581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 CENTERVILLE RD STE 101",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864376",
            "telephone_number": "401-737-4581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINICUCCI",
        "first_name": "HUNTER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-28",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "RI",
            "license": "PT03287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; 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.