Kristen Cavaco, M.S. DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT02939 Issued in RI

Practice address

10 High St
Wakefield, RI 02879-3176

Phone

(401) 783-8077

Fax

(401) 789-6029

NPI assigned

Sep 30, 2016

Last updated

Sep 30, 2016By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1475193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475193600000",
    "number": "1922557990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HIGH ST",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028793176",
            "telephone_number": "401-783-8077",
            "fax_number": "401-789-6029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 HIGH ST",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028793176",
            "telephone_number": "401-783-8077",
            "fax_number": "401-789-6029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVACO",
        "first_name": "KRISTEN",
        "credential": "M.S. DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-30",
        "last_updated": "2016-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "PT02939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cassondra Marie Catlow
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• Michael C. Cerullo Jr., MS, LMHC
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• Omar Chahbandar
• CHI Y Chan, DVM
• Mitchell Chan, PHARM.D

• Physical Therapist in Wakefield, RI
• Providers in Wakefield, 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 Sep 30, 2016; 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.