Active NPI
Amanda Lee Zarriello, DPT
- Orthopedic Physical Therapist
- Cranston, RI
National Provider Identifier
1902246788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 02619
- Practice address
- 10 Worthington Rd
Cranston, RI 02920 - Phone
- (401) 338-1713
- NPI assigned
- Jun 26, 2013
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | 02610 | RI | |
| Physical Therapist | 225100000X | PT00431-G | RI | |
| Orthopedic Physical Therapist | 2251X0800X | 02619 | RI | Primary |
Addresses
Primary practice location
10 Worthington Rd
Cranston, RI 02920
Mailing address
10 Worthington Rd
Cranston, RI 02920-7951
Phone (401) 250-3060
Other practice location 1
250 Centerville Road
Building A
Warwick, RI 02886
Phone (401) 384-6490
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 |
|---|---|---|---|
| 02610 | RI | MD | Sports Medicine (Physical Medicine & Rehabilitation) Physician |
| PT00431-G | RI | MD | Physical Therapist |
| 02619 | RI | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Restore Physical Therapy, LLC | 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 Therapy Clinic/Center
- Cranston, RI
- NPI 1316403165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550102400000",
"number": "1902246788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 WORTHINGTON RD",
"city": "CRANSTON",
"state": "RI",
"postal_code": "029207951",
"telephone_number": "401-250-3060",
"fax_number": "401-244-7044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 WORTHINGTON RD",
"city": "CRANSTON",
"state": "RI",
"postal_code": "02920",
"telephone_number": "401-338-1713"
}
],
"practiceLocations": [
{
"address_1": "250 Centerville Road",
"address_2": "Building A",
"address_purpose": "LOCATION",
"city": "Warwick",
"state": "RI",
"postal_code": "02886",
"country_code": "US",
"telephone_number": "401-384-6490",
"fax_number": "401-384-6493",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZARRIELLO",
"first_name": "AMANDA",
"middle_name": "LEE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-26",
"last_updated": "2019-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "2081S0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": "RI",
"license": "02610",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "RI",
"license": "PT00431-G",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "RI",
"license": "02619",
"primary": true
}
],
"identifiers": [],
"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 Feb 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.