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FORM & FUNCTION PHYSICAL THERAPY AND SPORTS MEDICINE LLC
NPI 1629486550
Specialist in North Kingstown, RI

Active since July 23, 2014
250 SCRABBLETOWN RD, NORTH KINGSTOWN, RI 02852(617) 326-3008 Get Directions Write a Review

NPPES record last updated: January 31, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Form & Function Physical Therapy And Sports Medicine Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FORM & FUNCTION PHYSICAL THERAPY AND SPORTS MEDICINE LLC (NPI 1629486550) is a healthcare organization registered as a specialist in North Kingstown, Rhode Island and active in the NPI registry since July 2014. The organization lists Guerrino Boni, Owner, as its authorized official.

NPPES Registry Identity

NPI1629486550
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameFORM & FUNCTION PHYSICAL THERAPY AND SPORTS MEDICINE LLC
Location Address250 SCRABBLETOWN RDNorth Kingstown, RI 02852-3016
Mailing Address250 Scrabbletown RdNorth Kingstown, RI 02852-3016
Phone(617) 326-3008
Organization SubpartNo
Authorized OfficialGuerrino BoniOwner · (401) 465-8244
Enumeration DateJuly 23, 2014
Last NPPES UpdateJanuary 31, 2018
✔ NPI 1629486550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in RI · PT01838
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
250 SCRABBLETOWN RD, North Kingstown, RI 02852
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRENDAN LADINO PTA
Physical Therapy Assistant
250 SCRABBLETOWN RD
NORTH KINGSTOWN, RI 02852
Washington County (401) 294-6183
ROREY SHORT PTA
Physical Medicine & Rehabilitation
250 SCRABBLETOWN RD
NORTH KINGSTOWN, RI 02852
Washington County (401) 294-6183

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Form & Function Physical Therapy And Sports Medicine LLC's NPI number?

The NPI number for Form & Function Physical Therapy And Sports Medicine LLC is 1629486550. It was assigned to this organization in the NPPES registry on July 23, 2014.

Where is Form & Function Physical Therapy And Sports Medicine LLC located?

Form & Function Physical Therapy And Sports Medicine LLC is located at 250 Scrabbletown Rd, North Kingstown, RI 02852. The listed phone number is (617) 326-3008.

What is Form & Function Physical Therapy And Sports Medicine LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Form & Function Physical Therapy And Sports Medicine LLC was last updated on January 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.