NPIMap

Organization Active NPI

Marcotte Physical Therapy, Inc

  • Physical Therapist
  • North Smithfield, RI
National Provider Identifier
1932489515
Registry record updated Aug 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00461 Issued in RI
Legal business name
MARCOTTE PHYSICAL THERAPY, INC
Practice address
501 Great Rd
Suite 108
North Smithfield, RI 02896-6833
Phone
(401) 766-7246
Fax
(401) 766-4248
NPI assigned
Aug 26, 2011
Last updated
Aug 26, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2011

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

Authorized official

Name
Daniel Raymond Marcotte, PT, MPH, DPTNPI 1306993258
Title
President
Phone
(401) 480-1408

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT00461 RI Primary

Addresses

Primary practice location

501 Great Rd
Suite 108
North Smithfield, RI 02896-6833

Mailing address

501 Great Rd
Suite 108
North Smithfield, RI 02896-6833
Phone (401) 766-7246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120117000478 RI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9436326303 Receives reassigned benefits from 7 practitioners
Practice locations: North Smithfield, RI

National Provider Directory

National Provider Directory

Locations

501 Great Rd
Ste 108
North Smithfield, RI 02896
Phone (401) 480-1408

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1314316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314316800000",
    "number": "1932489515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 GREAT RD",
            "address_2": "SUITE 108",
            "city": "NORTH SMITHFIELD",
            "state": "RI",
            "postal_code": "028966833",
            "telephone_number": "401-766-7246",
            "fax_number": "401-766-4248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 GREAT RD",
            "address_2": "SUITE 108",
            "city": "NORTH SMITHFIELD",
            "state": "RI",
            "postal_code": "028966833",
            "telephone_number": "401-766-7246",
            "fax_number": "401-766-4248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCOTTE PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-26",
        "last_updated": "2011-08-26",
        "status": "A",
        "authorized_official_last_name": "MARCOTTE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-480-1408",
        "authorized_official_credential": "PT, MPH, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "PT00461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Smithfield, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.