Active NPIIndividual providerSole proprietor

Misty Rose

Physical Therapy Assistant in East Providence, Rhode Island

NPI Number1487005799
Practice location
119 Goldsmith Ave, East Providence, RI 02914-2203
Fax
—
Last updated
June 28, 2016

Misty Rose is a Physical Therapy Assistant based in East Providence, RI. Misty Rose practices in East Providence, RI. The NPI Number for Misty Rose is 1487005799 and holds a License No. 9164 (MA). The current practice location address for Misty Rose is 119 Goldsmith Ave, East Providence, RI 02914-2203 and can be reached out via phone at 401-301-7533.

Provider Profile Details

NPI Number
1487005799
Provider Name
Misty Rose
Provider Entity Type
Individual
Gender
Female
Address
119 Goldsmith Ave, East Providence, RI 02914-2203
Phone Number
401-301-7533
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
Yes
Provider Enumeration Date
June 28, 2016
Last Update Date
June 28, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
119 Goldsmith Ave
East Providence, RI 02914-2203
Zip
02914-2203
Phone Number
401-301-7533
East Providence, RI 02914Get directions →

Provider Business Mailing Address Details

Address
119 Goldsmith Ave
East Providence, RI 02914-2203
City
East Providence
State
RI
Zip
02914-2203

License Information

License Number
9164
License State
MA
Taxonomy
Physical Therapy Assistant · 225200000X · 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 Misty Rose?

The NPI number of Misty Rose is 1487005799. It was assigned on June 28, 2016 and is currently active in the NPPES registry.

What is the specialty of Misty Rose?

Misty Rose is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in MA under license number 9164.

Where does Misty Rose practice?

The practice location is 119 Goldsmith Ave, East Providence, RI 02914-2203. The office can be reached at 401-301-7533 (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 1487005799 directly on the NPPES registry website.

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