Active NPI
Kim Marie R Dumas, MPT
- Physical Therapist
- East Greenwich, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT01317
- Practice address
- 18 5TH Ave
East Greenwich, RI 02818-3108 - Phone
- (401) 884-9541
- Fax
- (401) 884-9509
- NPI assigned
- Jul 25, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT01317 | RI | Primary |
Addresses
Primary practice location
18 5TH Ave
East Greenwich, RI 02818-3108
Mailing address
19 Firwood Dr
North Kingstown, RI 02852-1725
Phone (401) 886-5581
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 411382 | Other | RI | RI BLUE CHIP PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040421000081 | RI | Practitioner - Physical Therapist in Private Practice | 1951397538 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Temple University School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bay State Physical Therapy PC
Practice addresses (Care Compare)
1 Garnett LN
Greenville, RI 02828-1529
Phone (401) 949-0380
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT01317 | RI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay State Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| Tru-Care Physical Therapy Inc. | Physical Therapist | Past | Accepting new patients |
Locations
703 Granite St
Ste 300
Braintree, MA 02184
Phone (603) 626-4205
1 Garnett Ln
Greenville, RI 02828
Phone (401) 949-0380
652 George Washington Hwy
Lincoln, RI 02865
Phone (401) 333-3211
235 Plain St
Ste 307
Providence, RI 02905
Phone (401) 414-4601
Organizations & group practices 2
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.
-
- Physical Therapist
- Attleboro, MA
- NPI 1194387191
Physical Therapist, RI
-
- Physical Therapist
- East Greenwich, RI
- NPI 1043236656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218499200000",
"number": "1790708444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 FIRWOOD DR",
"city": "NORTH KINGSTOWN",
"state": "RI",
"postal_code": "028521725",
"telephone_number": "401-886-5581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 5TH AVE",
"city": "EAST GREENWICH",
"state": "RI",
"postal_code": "028183108",
"telephone_number": "401-884-9541",
"fax_number": "401-884-9509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUMAS",
"first_name": "KIM MARIE",
"middle_name": "R",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-25",
"last_updated": "2008-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "RI",
"license": "PT01317",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RI BLUE CHIP PIN",
"identifier": "411382",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Greenwich, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; 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.