Active NPIIndividual provider

Dylan Medeiros, PHYSICAL THERAPY

Physical Therapist in Tiverton, Rhode Island

NPI Number1043025463
Practice location
1812 Main RD, Tiverton, RI 02878-4625
Fax
401-625-9856
Last updated
February 12, 2025

Dylan Medeiros is a Physical Therapist based in Tiverton, RI. Dylan Medeiros practices in Tiverton, RI and has the professional credentials of PHYSICAL THERAPY. The NPI Number for Dylan Medeiros is 1043025463 and holds a License No. PT03938 (RI). The current practice location address for Dylan Medeiros is 1812 Main RD, Tiverton, RI 02878-4625 and can be reached out via phone at 401-625-9855 and via fax at 401-625-9856.

Provider Profile Details

NPI Number
1043025463
Provider Name
Dylan Medeiros
Credential
PHYSICAL THERAPY
Provider Entity Type
Individual
Gender
Male
Address
1812 Main RD, Tiverton, RI 02878-4625
Phone Number
401-625-9855
Fax Number
401-625-9856
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
February 12, 2025
Last Update Date
February 12, 2025
Certification Date
February 12, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
1812 Main RD
Tiverton, RI 02878-4625
Zip
02878-4625
Phone Number
401-625-9855
Fax Number
401-625-9856
Tiverton, RI 02878Get directions →

Provider Business Mailing Address Details

Address
1650 Lyndon Farm CT Ste 300
Louisville, KY 40223-5005
City
Louisville
State
KY
Zip
40223-5005

License Information

License Number
PT03938
License State
RI
Taxonomy
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dylan Medeiros, PHYSICAL THERAPY?

The NPI number of Dylan Medeiros, PHYSICAL THERAPY is 1043025463. It was assigned on February 12, 2025 and is currently active in the NPPES registry.

What is the specialty of Dylan Medeiros, PHYSICAL THERAPY?

Dylan Medeiros, PHYSICAL THERAPY is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in RI under license number PT03938.

Where does Dylan Medeiros, PHYSICAL THERAPY practice?

The practice location is 1812 Main RD, Tiverton, RI 02878-4625. The office can be reached at 401-625-9855 (phone) or 401-625-9856 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043025463 directly on the NPPES registry website.

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