Active NPIIndividual provider

Geoffrey Phaneuf, DPT

Physical Therapist in Riverside, Rhode Island

NPI Number1528577384
Practice location
375 Wampanoag Trl Ste 403, Riverside, RI 02915
Fax
401-433-0612
Last updated
September 18, 2019

Geoffrey Phaneuf is a Physical Therapist based in Riverside, RI. Geoffrey Phaneuf practices in Riverside, RI and has the professional credentials of DPT. The NPI Number for Geoffrey Phaneuf is 1528577384 and holds a License No. PT03025 (RI). The current practice location address for Geoffrey Phaneuf is 375 Wampanoag Trl Ste 403, Riverside, RI 02915 and can be reached out via phone at 401-433-4172 and via fax at 401-433-0612.

Provider Profile Details

NPI Number
1528577384
Provider Name
Geoffrey Phaneuf
Credential
DPT
Provider Entity Type
Individual
Gender
Male
Address
375 Wampanoag Trl Ste 403, Riverside, RI 02915
Phone Number
401-433-4172
Fax Number
401-433-0612
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
September 25, 2017
Last Update Date
September 18, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
375 Wampanoag Trl Ste 403
Riverside, RI 02915
Zip
02915
Phone Number
401-433-4172
Fax Number
401-433-0612
Riverside, RI 02915Get 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

License Information

License Number
PT03025
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 Geoffrey Phaneuf, DPT?

The NPI number of Geoffrey Phaneuf, DPT is 1528577384. It was assigned on September 25, 2017 and is currently active in the NPPES registry.

What is the specialty of Geoffrey Phaneuf, DPT?

Geoffrey Phaneuf, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in RI under license number PT03025.

Where does Geoffrey Phaneuf, DPT practice?

The practice location is 375 Wampanoag Trl Ste 403, Riverside, RI 02915. The office can be reached at 401-433-4172 (phone) or 401-433-0612 (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 1528577384 directly on the NPPES registry website.

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