Active NPI
Bonnie L Wolfe, MS, PT
- Physical Therapist
- Cranston, RI
National Provider Identifier
1811963135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 01101
- Practice address
- 1193 Reservoir Ave
Cranston, RI 02920-6008 - Phone
- (401) 228-3939
- Fax
- (401) 383-3943
- NPI assigned
- Feb 27, 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 | 01101 | RI | Primary |
Addresses
Primary practice location
1193 Reservoir Ave
Cranston, RI 02920-6008
Mailing address
1193 Reservoir Ave
Cranston, RI 02920-6008
Phone (401) 228-3939
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 403427 | Other | RI | BLUECHIP |
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 |
|---|---|---|---|
| 01101 | RI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gaffney Physical Therapy, LLC | 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 and National Provider Directory roles.
-
- Physical Therapist
- Cranston, RI
- NPI 1265974901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702512000000",
"number": "1811963135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1193 RESERVOIR AVE",
"city": "CRANSTON",
"state": "RI",
"postal_code": "029206008",
"telephone_number": "401-228-3939",
"fax_number": "401-383-4372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1193 RESERVOIR AVE",
"city": "CRANSTON",
"state": "RI",
"postal_code": "029206008",
"telephone_number": "401-228-3939",
"fax_number": "401-383-3943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLFE",
"first_name": "BONNIE",
"middle_name": "L",
"credential": "MS, PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-27",
"last_updated": "2023-12-14",
"certification_date": "2023-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "RI",
"license": "01101",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECHIP",
"identifier": "403427",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cranston, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.