Kayla Danielle Boggs, D.P.T
Individual provider Active NPI Physical Therapist · Warwick, RI
NPI 1790036341 · NPPES record last updated Sep 23, 2012
Key facts
- NPI
- 1790036341
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT02517 (RI)
- Practice address
- 1030 Warwick Ave
Warwick, RI 02888-3655 - Phone
- (401) 941-0494
- Fax
- (401) 941-9907
- NPI assigned
- Sep 23, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT02517 | RI | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT02517 | RI | Yes |
Addresses
Primary practice location
1030 Warwick Ave
Warwick, RI 02888-3655
Mailing address
1030 Warwick Ave
Warwick, RI 02888-3655
Phone (401) 941-0494
Other providers in Warwick, RI
- Jessica Lynn Bobola
- Leslie Bobrowski
- Judith Bronislawia Bodzioch- Wooler
- Eric Edward Boettjer
- Rhonda Maxine Boggi
- Tara Mabel Brannon Bogs
- Bone Joint & Spine LLC
- Kayli Marie Bonenfant
- David Booth
- Bradley Borsay
All providers in Warwick, RI · Physical Therapist in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.