KEVIN FRANCIS MEDEIROS (NPI# 1255392338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255392338 |
Entity Type | Individual |
Full Name | KEVIN FRANCIS MEDEIROS |
Credential | PHYSICAL THERAPIST |
Practice Address |
203 Concord St Suite 301 Pawtucket RI 02860-3477 |
Mailing Address |
7 Aimes Way Westport MA 02790-1259 |
Practice Telephone | 4017228880 |
Mailing Telephone | 5086369060 |
Enumeration Date | 2006-03-29 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
7004 | MA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT00742 | RI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
203 CONCORD ST SUITE 301 |
City | PAWTUCKET |
State | RI |
Zip Code | 02860-3477 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275076457 | Maureen Alicea | Student in an Organized Health Care Education/Training Program | 203 Concord St, Suite 463, Pawtucket, RI 02860-3477 | 2016-11-21 |
1457601619 | Albert D Iannotti Jr. | Social Worker | 203 Concord St, Suite 335, Pawtucket, RI 02860-3477 | 2012-09-14 |
1336499094 | Sharon Heather Kern | Social Worker | 203 Concord St, Suite 335, Pawtucket, RI 02860-3477 | 2012-09-10 |
1982952099 | Kirsten Shaw-munderback | Social Worker | 203 Concord St, Suite 335, Pawtucket, RI 02860-3477 | 2012-08-21 |
1023366481 | Elizabeth Pinkham | Social Worker | 203 Concord St, Suite 335, Pawtucket, RI 02860-3477 | 2012-08-16 |
1093062903 | About Families, Cedarr | Community/Behavioral Health | 203 Concord St, Suite 335, Pawtucket, RI 02860-3477 | 2012-08-09 |
1740438605 | Wendy M Looker | Counselor | 203 Concord St, Suite 463, Pawtucket, RI 02860-3477 | 2008-09-04 |
1699923045 | Madeline Rosario-almonte | Counselor | 203 Concord St, Suite 463, Pawtucket, RI 02860-3477 | 2008-08-28 |
1902054356 | George C Cournoyer | Counselor | 203 Concord St, Suite 463, Pawtucket, RI 02860-3477 | 2008-08-28 |
1255588604 | Heavenly Ann Strahan | Counselor | 203 Concord St, Suite 463, Pawtucket, RI 02860-3477 | 2008-08-27 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972096923 | Lmb Medical LLC | Internal Medicine | 127 School St, Pawtucket, RI 02860 | 2018-06-13 |
1215420435 | Tyla Jackson | Behavior Technician | 70 Wood St Apt 22, Pawtucket, RI 02860 | 2018-06-12 |
1376048637 | Michael A Iadevaia | Family Medicine | 111 Brewster St Fl 3, Pawtucket, RI 02860 | 2018-03-28 |
1730690488 | Anthony Edwin Ramicone | Physician Assistant | 407 East Ave Ste 120, Pawtucket, RI 02860 | 2017-10-21 |
1669991352 | Kathleen K. Kroessler, Md; Neurology & Acupuncture, Inc. PC | Clinic/Center | 407 East Ave; Suite 110, Pawtucket, RI 02860 | 2017-09-13 |
1841716230 | Ri Alternative Academy Management, LLC | Local Education Agency (LEA) | 249 Roosevelt Avenue, Pawtucket, RI 02860 | 2017-08-17 |
1396265724 | Hannah R Stoops | Family Medicine | 111 Brewster St Fcc A, Pawtucket, RI 02860 | 2017-06-27 |
1427578400 | Shaun Michael Flynn | Family Medicine | 111 Brewster St, Fcc A, Pawtucket, RI 02860 | 2017-06-21 |
1073051843 | Laura Jane Amaral | Counselor | 750 East Ave Unit 1e, Pawtucket, RI 02860 | 2017-02-01 |
1063862027 | Stephanie Shoppell | Counselor | 105 Bacon Street, Pawtucket, RI 02860 | 2016-06-20 |
Find all providers in zip 02860 |
Taxonomy Code | 2251X0800X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Orthopedic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023248556 | Steven James Lucci | Physical Therapist | 100 Smithfield Ave, Pawtucket, RI 02860-3497 | 2009-07-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245843911 | Devin A Finnegan | Physical Therapist | 7540 Post Rd # 3211, North Kingstown, RI 02852-3901 | 2020-08-24 |
1508291204 | Kasey L Drayton | Physical Therapist | 28 Burdick Ave, Newport, RI 02840-1709 | 2013-09-12 |
1700919602 | Kerri Lee Ialongo Gillette | Physical Therapist | 38 Brown St, North Kingstown, RI 02852-5039 | 2007-03-13 |
1508821810 | Edward P Brady | Physical Therapist | 955 Chalkstone Ave, Providence, RI 02908-4220 | 2006-04-19 |
1750904488 | Hunter Minicucci | Physical Therapist | 990 Main St, East Greenwich, RI 02818-3182 | 2020-05-28 |
1659883742 | Academy Physical Therapy, Inc. | Physical Therapist | 667 Academy Ave, Providence, RI 02908-2105 | 2017-10-29 |
1831591056 | Stephanie Jean Maciel | Physical Therapist | 725 Reservoir Ave, Suite 101, Cranston, RI 02910-4448 | 2014-09-18 |
1922417542 | Timothy Haitz | Physical Therapist | 721 Reservoir Ave, Cranston, RI 02910-4430 | 2014-08-07 |
1164831160 | Nicholas Bruno | Physical Therapist | 2 Dudley St, Suite 200, Providence, RI 02905-3236 | 2014-08-05 |
1225313158 | Jeffrey J. Kozlik | Physical Therapist | 120 Centerville Rd, Physical Therapy Department, Warwick, RI 02886-4336 | 2011-10-11 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.