Active NPIIndividual provider

Cynthia K Wisted, DPT

Physical Therapist in Pawtucket, Rhode Island

NPI Number1124306220
Practice location
21 Division St, Pawtucket, RI 02860-5352
Fax
—
Last updated
May 20, 2021

Cynthia Kay Wisted is a Physical Therapist based in Pawtucket, RI. Cynthia Kay Wisted practices in Pawtucket, RI and has the professional credentials of DPT. The NPI Number for Cynthia Kay Wisted is 1124306220 and holds a License No. 8764 (MN). The current practice location address for Cynthia Kay Wisted is 21 Division St, Pawtucket, RI 02860-5352 and can be reached out via phone at 017-267-1004.

Provider Profile Details

NPI Number
1124306220
Provider Name
Cynthia Kay Wisted
Credential
DPT
Provider Entity Type
Individual
Gender
Female
Address
21 Division St, Pawtucket, RI 02860-5352
Phone Number
017-267-1004
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
July 25, 2011
Last Update Date
May 20, 2021
Certification Date
May 20, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
21 Division St
Pawtucket, RI 02860-5352
Zip
02860-5352
Phone Number
017-267-1004
Pawtucket, RI 02860Get directions →

Provider Business Mailing Address Details

Address
4 Richmond Sq Ste 200
Providence, RI 02906-5117
City
Providence
State
RI
Zip
02906-5117
Phone Number
401-433-4172
Fax Number
401-433-0612

License Information

License Number (1)
8764
License State (1)
MN
Taxonomy (1)
Physical Therapist · 225100000X
License Number (2)
24042
License State (2)
MA
Taxonomy (2)
Physical Therapist · 225100000X
License Number (3)
PT03378
License State (3)
RI
Taxonomy (3)
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 Cynthia K Wisted, DPT?

The NPI number of Cynthia K Wisted, DPT is 1124306220. It was assigned on July 25, 2011 and is currently active in the NPPES registry.

What is the specialty of Cynthia K Wisted, DPT?

Cynthia K Wisted, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in MN under license number 8764.

Where does Cynthia K Wisted, DPT practice?

The practice location is 21 Division St, Pawtucket, RI 02860-5352. The office can be reached at 017-267-1004 (phone).

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 1124306220 directly on the NPPES registry website.

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