Individual provider · Type 1 NPI

Chimeng Justin Thao

Physical Therapy Assistant · Pawtucket, RI

NPI number 1497691810 Active

Practice location

588 Pawtucket Ave
Pawtucket, RI 02860-6057

Call (401) 728-6500 Map

Mailing address

20 Marblehead Ave
North Providence, RI 02904-4267

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA01448 (RI)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1497691810

Chimeng Justin Thao's National Provider Identifier is 1497691810, issued on Apr 27, 2026. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Pawtucket, RI. The record was last updated on Apr 27, 2026.