1689299547 NPI number — ADAPTABLE PHYSICAL THERAPY AND CONSULTING, LLC

Table of content: TINA MARIE FRANK APN (NPI 1356846901)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1689299547 NPI number — ADAPTABLE PHYSICAL THERAPY AND CONSULTING, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ADAPTABLE PHYSICAL THERAPY AND CONSULTING, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
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Provider Other Credential Text:
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NPI Number Information

NPI Number:
1689299547
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/16/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4 WOODBINE AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BARRINGTON
Provider Business Mailing Address State Name:
RI
Provider Business Mailing Address Postal Code:
02806-1030
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
401-903-2442
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4 WOODBINE AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BARRINGTON
Provider Business Practice Location Address State Name:
RI
Provider Business Practice Location Address Postal Code:
02806-1030
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
401-903-2442
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/16/2020

Additional Information

Authorized Official

Authorized Official Last Name:
GROSS
Authorized Official First Name:
KRISTEN
Authorized Official Middle Name:
TRACY
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
401-903-2442

Provider Taxonomy Codes

  • Taxonomy code: 225100000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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