Active NPI
Michael G Haley, PHYSICAL THERPIST MS
- Physical Therapist
- Greenville, RI
National Provider Identifier
1801823042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT01150
- Practice address
- One Garnett Lane
Northern Ri Physical Therapy Ste 3
Greenville, RI 02828-1414 - Phone
- (401) 949-0380
- Fax
- (401) 949-5581
- NPI assigned
- Jun 26, 2006
- Last updated
- Sep 22, 2011
- Sex
- Male
- 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 | PT01150 | RI | Primary |
Addresses
Primary practice location
One Garnett Lane
Northern Ri Physical Therapy Ste 3
Greenville, RI 02828-1414
Mailing address
One Garnett Lane
Northern Ri Physical Therapy Ste 3
Greenville, RI 02828-1414
Phone (401) 949-0380
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007001715 | Other | UPIN FED MEDICARE | |
| 8225 | Other | RI NEIGHBORHOOD PIN GROUP | |
| 402508 | Other | RI BLUE CHIP | |
| 411376 | Other | RI BLUE CHIP | |
| 6400148 | Other | UNITED HEALTH NE | |
| 75277 | Other | RI | RI BLUE CROSS |
| 007001716 | Other | UPIN FED MEDICARE | |
| 007010144 | Other | UPIN FED MEDICARE | |
| 410188 | Other | RI BLUE CHIP | |
| 402381 | Other | RI | RI BLUE CHIP |
| 402512 | Other | RI BLUE CHIP | |
| 26679 | Other | RI NEIGHBORHOOD PIN | |
| 007056176 | Other | UPIN FED MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT01150 | RI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay State Physical Therapy PC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Attleboro, MA
- NPI 1194387191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316649600000",
"number": "1801823042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ONE GARNETT LANE",
"address_2": "NORTHERN RI PHYSICAL THERAPY STE 3",
"city": "GREENVILLE",
"state": "RI",
"postal_code": "028281414",
"telephone_number": "401-949-0380",
"fax_number": "401-949-5581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ONE GARNETT LANE",
"address_2": "NORTHERN RI PHYSICAL THERAPY STE 3",
"city": "GREENVILLE",
"state": "RI",
"postal_code": "028281414",
"telephone_number": "401-949-0380",
"fax_number": "401-949-5581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALEY",
"first_name": "MICHAEL",
"middle_name": "G",
"name_prefix": "Mr.",
"credential": "PHYSICAL THERPIST MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-26",
"last_updated": "2011-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "RI",
"license": "PT01150",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPIN FED MEDICARE",
"identifier": "007001715",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RI NEIGHBORHOOD PIN GROUP",
"identifier": "8225",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RI BLUE CHIP",
"identifier": "402508",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RI BLUE CHIP",
"identifier": "411376",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH NE",
"identifier": "6400148",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RI BLUE CROSS",
"identifier": "75277",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPIN FED MEDICARE",
"identifier": "007001716",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPIN FED MEDICARE",
"identifier": "007010144",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RI BLUE CHIP",
"identifier": "410188",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RI BLUE CHIP",
"identifier": "402381",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RI BLUE CHIP",
"identifier": "402512",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RI NEIGHBORHOOD PIN",
"identifier": "26679",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPIN FED MEDICARE",
"identifier": "007056176",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenville, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.