Active NPIIndividual providerSole proprietor

Mr. Kevin Mahoney, PT

Physical Therapist in East Providence, Rhode Island

NPI Number1124335997
Practice location
1 Kettle Point Ave, East Providence, RI 02914-5375
Fax
401-330-1447
Last updated
February 15, 2019

Kevin Mahoney is a Physical Therapist based in East Providence, RI. Kevin Mahoney practices in East Providence, RI and has the professional credentials of PT. The NPI Number for Kevin Mahoney is 1124335997 and holds a License No. PT02317 (RI). The current practice location address for Kevin Mahoney is 1 Kettle Point Ave, East Providence, RI 02914-5375 and can be reached out via phone at 401-330-1437 and via fax at 401-330-1447.

Provider Profile Details

NPI Number
1124335997
Provider Name
Kevin Mahoney
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
1 Kettle Point Ave, East Providence, RI 02914-5375
Phone Number
401-330-1437
Fax Number
401-330-1447
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
Yes
Provider Enumeration Date
September 1, 2010
Last Update Date
February 15, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Kettle Point Ave
East Providence, RI 02914-5375
Zip
02914-5375
Phone Number
401-330-1437
Fax Number
401-330-1447
East Providence, RI 02914Get directions →

Provider Business Mailing Address Details

Address
Po Box 1119
Providence, RI 02901-1119
City
Providence
State
RI
Zip
02901-1119
Phone Number
401-330-1437
Fax Number
401-330-1447

License Information

License Number
PT02317
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 Mr. Kevin Mahoney, PT?

The NPI number of Mr. Kevin Mahoney, PT is 1124335997. It was assigned on September 1, 2010 and is currently active in the NPPES registry.

What is the specialty of Mr. Kevin Mahoney, PT?

Mr. Kevin Mahoney, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in RI under license number PT02317.

Where does Mr. Kevin Mahoney, PT practice?

The practice location is 1 Kettle Point Ave, East Providence, RI 02914-5375. The office can be reached at 401-330-1437 (phone) or 401-330-1447 (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 1124335997 directly on the NPPES registry website.

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