Active NPI
Brian W Whitcomb, PT
- Physical Therapist
- Warwick, RI
National Provider Identifier
1881797934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT01700
- Practice address
- 535 Centerville Road
Suite 101
Warwick, RI 02886 - Phone
- (401) 737-4581
- Fax
- (401) 737-6152
- NPI assigned
- Sep 6, 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 | PT01700 | RI | Primary |
Addresses
Primary practice location
535 Centerville Road
Suite 101
Warwick, RI 02886
Mailing address
535 Centerville Road
Suite 101
Warwick, RI 02886
Phone (401) 737-4581
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 27869-4 | Other | SC | BC |
| 411817 | Other | RI | BLUE CHIP |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1881797934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "535 CENTERVILLE ROAD",
"address_2": "SUITE 101",
"city": "WARWICK",
"state": "RI",
"postal_code": "02886",
"telephone_number": "401-737-4581",
"fax_number": "401-737-6152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 CENTERVILLE ROAD",
"address_2": "SUITE 101",
"city": "WARWICK",
"state": "RI",
"postal_code": "02886",
"telephone_number": "401-737-4581",
"fax_number": "401-737-6152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITCOMB",
"first_name": "BRIAN",
"middle_name": "W",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "RI",
"license": "PT01700",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC",
"identifier": "27869-4",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHIP",
"identifier": "411817",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Warwick, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.