Seeds of Change Coaching and Wellness LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SEEDS OF CHANGE COACHING AND WELLNESS LLC

Practice address

144 Waterman St
Providence, RI 02906-2126

Phone

(401) 787-3627

NPI assigned

Nov 22, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Kristina Lynn Fitzgerald, LATC, MSPT, DPT,NPI 1902093495

Title

Physical Therapist

Phone

(401) 787-3627

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristina Fitzgerald, PT

  • Physical Therapist
  • Cranston, RI
  • NPI 1902093495
  NPD Authorized official

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

{
    "created_epoch": "1669075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669075200000",
    "number": "1861101305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 WOODMIST CIR",
            "city": "COVENTRY",
            "state": "RI",
            "postal_code": "028167555",
            "telephone_number": "401-787-3627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 WATERMAN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029062126",
            "telephone_number": "401-787-3627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEEDS OF CHANGE COACHING AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-22",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A",
        "authorized_official_last_name": "FITZGERALD",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "401-787-3627",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LATC, MSPT, DPT,"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Second Chances, Inc.
• Second Chnaces, Inc.
• Kerri Lynn Secreto, CRNA
• Cayla Yuavanee Sedani, MD
• Ivona Sediva, MD
• Allison K Seelig, NP
• Kristen Nicole Seery, MD
• Thomas J Seery, MD
• Adwoa Owusuaa Sefah, MD
• Kathryn Rose Segal, MD

• Physical Therapist in Providence, RI
• Providers in Providence, 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 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.