| Organization Name: | NESTOR PHYSICAL THERAPY LLC |
| NPI Number: | 1184052185 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STEPHEN F NESTOR (OWNER/PHYSICAL THERAPIST) |
| Mailing Address: | 261 N Main St Ste 101 North Smithfield |
| State: | RI US |
| Postal Code: | 028967900 |
| Phone Number: | 4013564777 |
| Fax Number: | |
| NPI Enumeration Date: | 10/29/2013 |
| NPI Last Update Date: | 10/29/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | PT02296 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | RI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |