MS. MARYBETH MCGOVERN (NPI# 1730263815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730263815 |
| Entity Type | Individual |
| Full Name | MS. MARYBETH MCGOVERN |
| Credential | MS, PT |
| Practice Address |
2075 Nooseneck Hill Rd Coventry RI 02816-6709 |
| Practice Telephone | 4013978399 |
| Practice Fax Number | 4013978398 |
| Mailing Telephone | 4013978399 |
| Mailing Fax Number | 4013978398 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251S0007X |
Physical Therapist Specialization: Sports |
RI943 | RI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2075 NOOSENECK HILL RD |
| City | COVENTRY |
| State | RI |
| Zip Code | 02816-6709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588812218 | Jennifer Marie Wentworth | Physical Therapist | 2075 Nooseneck Hill Rd, Coventry, RI 02816-6709 | 2008-09-06 |
| 1174742894 | Promptcare New England Respiratory, LLC | Durable Medical Equipment & Medical Supplies | 2075 Nooseneck Hill Rd, Coventry, RI 02816-6709 | 2007-04-24 |
| 1194851501 | Amy D Petrangelo | Physical Therapist | 2075 Nooseneck Hill Rd, Coventry, RI 02816-6709 | 2007-02-27 |
| 1720149768 | Coventry Physical Therapy & Sports Medicine, Inc. | Physical Therapist | 2075 Nooseneck Hill Rd, Coventry, RI 02816-6709 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164912564 | Marissa Smyrski | Physical Therapist | 982 Tiogue Avneue, Suite 202, Coventry, RI 02816 | 2018-05-11 |
| 1952787640 | Hayley Houghton | Occupational Therapy Assistant | 501 Hill St, Coventry, RI 02816 | 2015-08-04 |
| 1255697082 | Eric George, Dmd Ltd. | Dentist | 121 Sandy Bottom Road, Coventry, RI 02816 | 2012-04-05 |
| 1396032595 | Dak Family Medical LLC | Nurse Practitioner | 87 Sandy Bottom Road, Coventry, RI 02816 | 2011-07-08 |
| 1558658963 | Coventry Skilled Nursing and Rehab | Skilled Nursing Facility | 10 Woodland Drive, Coventry, RI 02816 | 2011-07-06 |
| 1124263884 | Coventry Orthodontic LLC | Dentist | 2435 Nooseneck Hill Rd, Coventry, RI 02816 | 2008-12-10 |
| 1326160961 | Alan A. Ali | Physician Assistant | 13th Civil Support Team, 570 Read Schoolhouse Road, Coventry, RI 02816 | 2007-04-04 |
| 1912022179 | Dr Roberta Boatwright Dds Inc | Dentist | 121 Sandy Bottom Rd, Coventry, RI 02816 | 2007-03-20 |
| 1851441083 | Dmitry Z Gelfand | Dentist | 903 Tiogue Avenue, Coventry, RI 02816 | 2007-01-11 |
| 1538220694 | Coventry Imaging Associates LLC | Radiology | 71 Sandy Bottom Road, Coventry, RI 02816 | 2006-12-13 |
| Find all providers in zip 02816 | ||||
| Taxonomy Code | 2251S0007X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Sports |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255542445 | Debra Lynne Belcher | Physical Therapist | 235 Hope St, Providence, RI 02912-9090 | 2007-05-27 |
| 1417050402 | Jeff G Konin | Physical Therapist | 25 W Independence Way, University of Rhode Island, Kingston, RI 02881-1126 | 2006-09-06 |
| 1225654924 | Strength and Sport Physical Therapy, LLC | Physical Therapist | 2477 E Main Rd, Portsmouth, RI 02871-4027 | 2020-06-19 |
| 1265445969 | Julie Angela Williams | Physical Therapist | 10 High St, Wakefield, RI 02879-3176 | 2006-08-14 |
Please comment or provide details below to improve the information on MS. MARYBETH MCGOVERN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.