TIMOTHY HAITZ (NPI# 1922417542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922417542 |
Entity Type | Individual |
Full Name | TIMOTHY HAITZ |
Other Name | DR. TIMOTHY MICHAEL HAITZ I |
Practice Address |
721 Reservoir Ave Cranston RI 02910-4430 |
Practice Telephone | 4019464250 |
Practice Fax Number | 4012755645 |
Mailing Telephone | 4019464250 |
Mailing Fax Number | 4012755645 |
Enumeration Date | 2014-08-07 |
Last Update Date | 2015-02-11 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
2707 | RI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
721 RESERVOIR AVE |
City | CRANSTON |
State | RI |
Zip Code | 02910-4430 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235110073 | Henry Sisun | Physical Therapist | 721 Reservoir Ave, Cranston, RI 02910-4430 | 2005-11-09 |
1265079008 | Albert M Sgambato | Physical Therapist | 721 Reservoir Ave, Cranston, RI 02910-4430 | 2019-11-27 |
1790267565 | Ashley Carolyn Barnas | Physical Therapist | 721 Reservoir Ave, Cranston, RI 02910-4430 | 2018-08-29 |
1902343494 | Allison Sinnott | Massage Therapist | 721 Reservoir Ave, Cranston, RI 02910-4430 | 2017-01-23 |
1669922167 | Karen Carnevale | Physical Therapist | 721 Reservoir Ave, Cranston, RI 02910-4430 | 2016-10-07 |
1275081143 | Karen Elizabeth Linehan | Physical Therapist | 721 Reservoir Ave, Cranston, RI 02910-4430 | 2016-09-20 |
1366995649 | Laura Frisard | Physical Therapist | 721 Reservoir Ave, Cranston, RI 02910-4430 | 2016-08-03 |
1144681701 | Rhode Island Rehabilitation Center | Clinic/Center | 721 Reservoir Ave, Cranston, RI 02910-4430 | 2016-03-10 |
1710365820 | Shannon Strate | Occupational Therapist | 721 Reservoir Ave, Cranston, RI 02910-4430 | 2015-05-08 |
1306238985 | Danielle Sequira | Physical Therapist | 721 Reservoir Ave, Cranston, RI 02910-4430 | 2015-02-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417443441 | Luis Guzman | Durable Medical Equipment & Medical Supplies | 29 Rolfe Square, Cranston, MA 02910 | 2018-07-02 |
1023535010 | Sarah Pagliarini | Nurse Practitioner | 725 Reservoir Ave Ste 308, Cranston, RI 02910 | 2017-08-29 |
1861890105 | Marissa Falco | Counselor | 1471 Elmwood Avenue, Cranston, RI 02910 | 2014-12-19 |
1952702425 | Lauren Beth Shibley | Counselor | 825 Pontiac Avenue Apt 14101, Cranston, RI 02910 | 2014-09-15 |
1831516632 | Kelly Kilmartin | Counselor | 471 Elmwood Avenue, Cranston, RI 02910 | 2014-03-19 |
1376784827 | Michael Eric Schaffer | Counselor | 989 Reservoir Ave Ste 104, Cranston, RI 02910 | 2009-03-13 |
1639384829 | Dolores Maiello Ciambrone | Social Worker | 145 Harmon Ave, Cranston, RI 02910 | 2007-05-11 |
1750502241 | Mary Jane Boucher | Counselor | Codac Cranston, 1052 Park Ave, Cranston, RI 02910 | 2007-05-01 |
1134250715 | Michele Bailey Chaudhry | Social Worker | 935 Reservoir Ave, Cranston, RI 02910 | 2007-03-08 |
1487703658 | Karen M Mega | Dentist | 567 Reservoir Ave, Cranston, RI 02910 | 2007-01-09 |
Find all providers in zip 02910 |
Taxonomy Code | 2251X0800X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Orthopedic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831591056 | Stephanie Jean Maciel | Physical Therapist | 725 Reservoir Ave, Suite 101, Cranston, RI 02910-4448 | 2014-09-18 |
1255664181 | Maria Lee Mariorenzi | Physical Therapist | 725 Reservoir Ave, Suite 101, Cranston, RI 02910-4448 | 2009-09-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245843911 | Devin A Finnegan | Physical Therapist | 7540 Post Rd # 3211, North Kingstown, RI 02852-3901 | 2020-08-24 |
1508291204 | Kasey L Drayton | Physical Therapist | 28 Burdick Ave, Newport, RI 02840-1709 | 2013-09-12 |
1700919602 | Kerri Lee Ialongo Gillette | Physical Therapist | 38 Brown St, North Kingstown, RI 02852-5039 | 2007-03-13 |
1508821810 | Edward P Brady | Physical Therapist | 955 Chalkstone Ave, Providence, RI 02908-4220 | 2006-04-19 |
1255392338 | Kevin Francis Medeiros | Physical Therapist | 203 Concord St, Suite 301, Pawtucket, RI 02860-3477 | 2006-03-29 |
1750904488 | Hunter Minicucci | Physical Therapist | 990 Main St, East Greenwich, RI 02818-3182 | 2020-05-28 |
1659883742 | Academy Physical Therapy, Inc. | Physical Therapist | 667 Academy Ave, Providence, RI 02908-2105 | 2017-10-29 |
1164831160 | Nicholas Bruno | Physical Therapist | 2 Dudley St, Suite 200, Providence, RI 02905-3236 | 2014-08-05 |
1225313158 | Jeffrey J. Kozlik | Physical Therapist | 120 Centerville Rd, Physical Therapy Department, Warwick, RI 02886-4336 | 2011-10-11 |
1871800623 | Katarzyna Krystyna Dmoch | Physical Therapist | 140 Point Judith Rd, Suite 33, Narragansett, RI 02882-3451 | 2010-08-31 |
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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.