Active NPI
Rachel Beth Deblois, PTA/L
- Physical Therapist
- North Providence, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT02880
- Practice address
- 1401 Douglas Ave
North Providence, RI 02904-4058 - Phone
- (401) 433-4172
- Fax
- (401) 433-0612
- NPI assigned
- Jul 28, 2009
- Last updated
- Jul 13, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 20591 | MA | |
| Physical Therapist | 225100000X | PT02880 | RI | Primary |
| Physical Therapy Assistant | 225200000X | 7983 | MA |
Addresses
Primary practice location
1401 Douglas Ave
North Providence, RI 02904-4058
Mailing address
4 Richmond SQ Ste 200
Providence, RI 02906-5117
Phone (401) 433-4172
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, RI
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of Massachusetts Medical School, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1395 Commerce Way
Unit 112
Attleboro, MA 02703-4695
Phone (508) 455-5740
1401 Douglas Ave
North Providence, RI 02904-4058
Phone (401) 435-4540
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.9 of 100
- Quality
- 79.21
- Improvement activities
- 40
- Cost
- 74.46
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20591 | MA | MD | Physical Therapist |
| PT02880 | RI | MD | Physical Therapist |
| 7983 | MA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Silver Fern Practice, LLC | Physical Therapist | Current | Accepting new patients |
| Elite Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Silver Fern Practice, LLC | Physical Therapist | Current | Accepting new patients |
Locations
1395 Commerce Way
Ste 112
Attleboro, MA 02703
Phone (508) 455-5740
1401 Douglas Ave
North Providence, RI 02904
Phone (401) 435-4540
4 Richmond Sq
Ste 200
Providence, RI 02906
41 Sanderson Rd
Ste 101
Smithfield, RI 02917
Phone (401) 349-4540
535 Centerville Rd
Ste 101
Warwick, RI 02886
Phone (401) 737-4581
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594598400000",
"number": "1780815530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 RICHMOND SQ STE 200",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029065117",
"telephone_number": "401-433-4172",
"fax_number": "401-433-4172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 DOUGLAS AVE",
"city": "NORTH PROVIDENCE",
"state": "RI",
"postal_code": "029044058",
"telephone_number": "401-433-4172",
"fax_number": "401-433-0612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEBLOIS",
"first_name": "RACHEL",
"middle_name": "BETH",
"credential": "PTA/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-28",
"last_updated": "2020-07-13",
"certification_date": "2020-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "20591",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "RI",
"license": "PT02880",
"primary": true
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MA",
"license": "7983",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; 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.