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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

FORM & FUNCTION PHYSICAL THERAPY AND SPORTS MEDICINE LLC

Active Organization

FORM & FUNCTION PHYSICAL THERAPY AND SPORTS MEDICINE LLC is a Specialist organization located in NORTH KINGSTOWN, Rhode Island. NPI 1629486550 is currently active in the NPPES registry. Verify at CMS.

Specialist · NORTH KINGSTOWN, RI

Registration Details

NPI Number
1629486550
Provider Type
Organization
NPI Issued
Jul 23, 2014 (12.082832987904 yrs)
Last Updated
Jan 31, 2018
License
PT01838 (RI)

Practice Information

Address
250 SCRABBLETOWN RD
NORTH KINGSTOWN, RI, 028523016
Browse RI providers · Browse ZIP 02852
Phone
6173263008
Primary Specialty
Specialist
174400000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.