Park Square Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PARK SQUARE PHYSICAL THERAPY

Practice address

1416 Park Ave
Woonsocket, RI 02895-6557

Phone

(401) 323-8682

Fax

(401) 765-0123

NPI assigned

Jul 6, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Russell Norman Thivierge

Title

Owner

Phone

(401) 323-8682

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Cynthia Anne Gagne, PT

  • Physical Therapist
  • Pawtucket, RI
  • NPI 1144351669
  NPD (past)

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313539200000",
    "number": "1780971176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 PARK AVE",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028956557",
            "telephone_number": "401-323-8682",
            "fax_number": "401-765-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 PARK AVE",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028956557",
            "telephone_number": "401-323-8682",
            "fax_number": "401-765-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK SQUARE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-06",
        "last_updated": "2011-08-17",
        "status": "A",
        "authorized_official_last_name": "THIVIERGE",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "NORMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-323-8682",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Lorien Palma, MD, MPH
• Pappas Physical Therapy, LLC (Pappas OPT Physical and Hand Therapy)
• Theresa Lynn Paquette, RN
• Amanda G. Paredes, OD
• Jennifer Lynn Parenteau, LCSW
• Abigail Josie Park, PHARMD
• Jiwon Park
• Amy Marie Parks, MS CCC SLP
• Alyssa J Parlee
• Sara Passananti, MS CCC-SLP

• Physical Therapist in Woonsocket, RI
• Providers in Woonsocket, RI by specialty
• Physical Therapist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.