Active NPIIndividual providerSole proprietor

Matthew S St Germain, RN, LMT

Mechanotherapist in Warwick, Rhode Island

NPI Number1417228016
Practice location
422 Post RD, Suite G2, Warwick, RI 02888-2802
Fax
—
Last updated
November 7, 2023

Matthew Shane Donnelly St Germain is a Mechanotherapist based in Warwick, RI. Matthew Shane Donnelly St Germain practices in Warwick, RI and has the professional credentials of RN, LMT. The NPI Number for Matthew Shane Donnelly St Germain is 1417228016 and holds a License No. 705 (RI). The current practice location address for Matthew Shane Donnelly St Germain is 422 Post RD, Suite G2, Warwick, RI 02888-2802 and can be reached out via phone at 401-467-9193.

Provider Profile Details

NPI Number
1417228016
Provider Name
Matthew Shane Donnelly St Germain
Credential
RN, LMT
Provider Entity Type
Individual
Gender
Male
Address
422 Post RD, Suite G2, Warwick, RI 02888-2802
Phone Number
401-467-9193
Primary Taxonomy
Mechanotherapist · 172M00000X
Sole Proprietor
Yes
Other Names
Matthew Shane Donnelly, RN, LMT (Former Name)
Provider Enumeration Date
January 13, 2012
Last Update Date
November 7, 2023
Certification Date
November 9, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
422 Post RD
Suite G2
Warwick, RI 02888-2802
Zip
02888-2802
Phone Number
401-467-9193
Warwick, RI 02888Get directions →

Provider Business Mailing Address Details

Address
144 Waterman St Ste 5
Providence, RI 02906-2126
City
Providence
State
RI
Zip
02906-2126
Phone Number
401-413-7525

License Information

License Number
705
License State
RI
Taxonomy
Mechanotherapist · 172M00000X · 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 Matthew S St Germain, RN, LMT?

The NPI number of Matthew S St Germain, RN, LMT is 1417228016. It was assigned on January 13, 2012 and is currently active in the NPPES registry.

What is the specialty of Matthew S St Germain, RN, LMT?

Matthew S St Germain, RN, LMT is registered under the primary taxonomy Mechanotherapist (code 172M00000X), licensed in RI under license number 705.

Where does Matthew S St Germain, RN, LMT practice?

The practice location is 422 Post RD, Suite G2, Warwick, RI 02888-2802. The office can be reached at 401-467-9193 (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 1417228016 directly on the NPPES registry website.

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