Active NPI
Matthew Kinne, PT
- Physical Therapist
- Providence, RI
National Provider Identifier
1831285428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT01946
- Practice address
- 285 Promenade St
Providence, RI 02908 - Phone
- (401) 459-4008
- Fax
- (401) 459-4010
- NPI assigned
- Oct 4, 2006
- 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 | PT01946 | RI | Primary |
Addresses
Primary practice location
285 Promenade St
Providence, RI 02908
Mailing address
285 Promenade St
Providence, RI 02908
Phone (401) 459-4008
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT01946 | RI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271203200000",
"number": "1831285428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "285 PROMENADE ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "02908",
"telephone_number": "401-459-4008",
"fax_number": "401-459-4010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "285 PROMENADE ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "02908",
"telephone_number": "401-459-4008",
"fax_number": "401-459-4010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINNE",
"first_name": "MATTHEW",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2010-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "RI",
"license": "PT01946",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.