Unknown Individual – Physical Therapist, NPI 1194732487

Unknown Individual is a healthcare provider. based in Cranston, Rhode Island. specializing in Physical Therapist. They hold a License No. 18747 (MA). The NPI Number for Unknown Individual is 1194732487

Main info

Organization
Inactive
24 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1194732487
Phone
(401) 536-4117
Address
75 INDEPENDENCE WAY
Deactivation Date
30 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7817692040
Graduation Year
2002 (24 years ago)
PAC ID
0446353676
Group Practice PAC ID
1759353832
Professional Enrollment ID
I20151029002475
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 75, Independence Way, Independence Plaza Shopping Center, Cranston, Providence County, Rhode Island, 02921, United States

    SUITE 30204

    CRANSTON, RI 029212036

    Phone: (401) 536-4117

    Fax: (401) 943-2484

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes78661$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes70658$0
97530Therapy procedure using functional activities51748$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care27641$0
97535Training for self-care or home management, each 15 minutes8032$0
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Insurance plans in this area (ZIP 02921)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1759353832View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMA
-MA
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA
-MA
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA

Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1194732487 if you need a stable reference for Unknown Individual.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Physical Therapist for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Cranston, Rhode Island for Unknown Individual based on available NPPES addresses.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.