Active NPIIndividual providerSole proprietor

Diane Gannon, PT

Physical Therapist in North Kingstown, Rhode Island

NPI Number1487608733
Practice location
610 Ten Rod Road, Wickford Chiropractic And Wellness Center, North Kingstown, RI 02852-6951
Fax
401-295-0230
Last updated
November 30, 2009

Diane Gannon is a Physical Therapist based in North Kingstown, RI. Diane Gannon practices in North Kingstown, RI and has the professional credentials of PT. The NPI Number for Diane Gannon is 1487608733 and holds a License No. PT01319 (RI). The current practice location address for Diane Gannon is 610 Ten Rod Road, Wickford Chiropractic And Wellness Center, North Kingstown, RI 02852-6951 and can be reached out via phone at 401-295-9767 and via fax at 401-295-0230.

Provider Profile Details

NPI Number
1487608733
Provider Name
Diane Gannon
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
610 Ten Rod Road, Wickford Chiropractic And Wellness Center, North Kingstown, RI 02852-6951
Phone Number
401-295-9767
Fax Number
401-295-0230
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
Yes
Provider Enumeration Date
May 20, 2006
Last Update Date
November 30, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
610 Ten Rod Road
Wickford Chiropractic And Wellness Center
North Kingstown, RI 02852-6951
Zip
02852-6951
Phone Number
401-295-9767
Fax Number
401-295-0230
North Kingstown, RI 02852Get directions →

Provider Business Mailing Address Details

Address
392 Butternut Dr
North Kingstown, RI 02852-6951
City
North Kingstown
State
RI
Zip
02852-6951
Phone Number
401-295-9767
Fax Number
401-295-0230

License Information

License Number
PT01319
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 Diane Gannon, PT?

The NPI number of Diane Gannon, PT is 1487608733. It was assigned on May 20, 2006 and is currently active in the NPPES registry.

What is the specialty of Diane Gannon, PT?

Diane Gannon, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in RI under license number PT01319.

Where does Diane Gannon, PT practice?

The practice location is 610 Ten Rod Road, Wickford Chiropractic And Wellness Center, North Kingstown, RI 02852-6951. The office can be reached at 401-295-9767 (phone) or 401-295-0230 (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 1487608733 directly on the NPPES registry website.

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