Linda A Summerly, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00877 Issued in RI

Practice address

697 Willett Ave
Riverside, RI 02915-2642

Phone

(401) 339-6560

Fax

(401) 247-0507

NPI assigned

Feb 8, 2007

Last updated

May 7, 2010By 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 1

Addresses

Other identifiers 1

Other names 1

• Mrs. Linda A Zonyk Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Mignacca Physical Therapy, LTD.

  • Physical Therapist
  • Riverside, RI
  • NPI 1518283985
  NPD (past)

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273190400000",
    "number": "1922148600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "697 WILLETT AVE",
            "city": "RIVERSIDE",
            "state": "RI",
            "postal_code": "029152642",
            "telephone_number": "401-339-6560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "697 WILLETT AVE",
            "city": "RIVERSIDE",
            "state": "RI",
            "postal_code": "029152642",
            "telephone_number": "401-339-6560",
            "fax_number": "401-247-0507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMMERLY",
        "first_name": "LINDA",
        "middle_name": "A",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2010-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "PT00877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "PT00877",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "ZONYK",
            "middle_name": "A",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Danielle E. Stewart, LMHC
• Gregory Paul Stiener, MD
• Edward J Stulik, MD
• Mariah Stump, M.D.
• Melissa A Sullivan, LICSW
• Victoria Swiss
• Claire M Szeker, LICSW
• Kassia Talaiefar, PHYSICIAN ASSISTANT
• Jaxon Zagorski Tamulaites
• Jie Tang, MD, MS, MPH

• Physical Therapist in Riverside, RI
• Providers in Riverside, 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 May 7, 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.

Verify at the official NPI Registry.