Active NPIIndividual provider

Kourtney Wallick, PT, DPT

Physical Therapist in Warren, Rhode Island

NPI Number1750788527
Practice location
91 Main St Ste 122, Warren, RI 02885-4437
Fax
—
Last updated
December 23, 2021

Kourtney Wallick is a Physical Therapist based in Warren, RI. Kourtney Wallick practices in Warren, RI and has the professional credentials of PT, DPT. The NPI Number for Kourtney Wallick is 1750788527 and holds a License No. PT02767 (RI). The current practice location address for Kourtney Wallick is 91 Main St Ste 122, Warren, RI 02885-4437 and can be reached out via phone at 401-289-2999.

Provider Profile Details

NPI Number
1750788527
Provider Name
Kourtney Wallick
Credential
PT, DPT
Provider Entity Type
Individual
Gender
Female
Address
91 Main St Ste 122, Warren, RI 02885-4437
Phone Number
401-289-2999
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
November 22, 2014
Last Update Date
December 23, 2021
Certification Date
December 23, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
91 Main St Ste 122
Warren, RI 02885-4437
City
Warren
Zip
02885-4437
Phone Number
401-289-2999
Warren, RI 02885Get directions →

Provider Business Mailing Address Details

Address
4 Richmond Sq Ste 200
Providence, RI 02906-5117
City
Providence
State
RI
Zip
02906-5117

License Information

Taxonomy (1)
Physical Therapist · 225100000X
License Number (2)
PT02767
License State (2)
RI
Taxonomy (2)
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 Kourtney Wallick, PT, DPT?

The NPI number of Kourtney Wallick, PT, DPT is 1750788527. It was assigned on November 22, 2014 and is currently active in the NPPES registry.

What is the specialty of Kourtney Wallick, PT, DPT?

Kourtney Wallick, PT, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in RI under license number PT02767.

Where does Kourtney Wallick, PT, DPT practice?

The practice location is 91 Main St Ste 122, Warren, RI 02885-4437. The office can be reached at 401-289-2999 (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 1750788527 directly on the NPPES registry website.

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