Kristina Tracy, M.S.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT02064 Issued in RI

Practice address

328 Cowesett Ave Ste 6
West Warwick, RI 02893-2248

Phone

(401) 823-8856

Fax

(401) 826-8234

NPI assigned

May 23, 2007

Last updated

Nov 4, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sport and Spine Physical Therapy IncGroup PAC ID 5890689541, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sport & Spine Physical Therapy Inc

  • Physical Therapist
  • West Warwick, RI
  • NPI 1164595609
  Medicare reassignment Care Compare group NPD
• Fox Rehab of Ri PC

  • Physical Therapist
  • Providence, RI
  • NPI 1487182598
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572825600000",
    "number": "1841400041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 SANDY LN",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028894314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 COWESETT AVE STE 6",
            "city": "WEST WARWICK",
            "state": "RI",
            "postal_code": "028932248",
            "telephone_number": "401-823-8856",
            "fax_number": "401-826-8234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1030 Warwick Ave",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "028883655",
            "country_code": "US",
            "telephone_number": "401-941-0494",
            "fax_number": "401-941-9907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRACY",
        "first_name": "KRISTINA",
        "credential": "M.S.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "PT02064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "sportandspinept.com",
            "affiliation": "N",
            "address_1": "328 Cowesett Ave Ste 6",
            "city": "West Warwick",
            "state": "RI",
            "country_code": "US",
            "postal_code": "028932248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Angela Torres
• Town of West Warwick Ri (West Warwick Fire Department)
• Craig Tuchon, LCSW
• Unique Fitness
• Urologic Specialists of New England LLC
• Urologic Specialists of New England LLC
• Urologic Specialists of New England, LLC

• Physical Therapist in West Warwick, RI
• Providers in West Warwick, RI by specialty
• Physical Therapist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; 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.

Verify at the official NPI Registry.