Form & Function Physical Therapy and Sports Medicine LLC
NPI 1629486550ActiveOrganization· Specialist· North Kingstown, RI
Specialist in North Kingstown, Rhode Island, registered in NPPES in July 2014. The authorized official on file is Guerrino Boni, Owner. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1629486550 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 23, 2014 |
| Last updated in NPPES | Jan 31, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | PT01838 | RI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Physical/Occupational Therapy Group in Private Practice (RI) |
|---|
Other Specialist providers in North Kingstown
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