OrganizationActive
Form & Function Physical Therapy and Sports Medicine LLC
NPI 1629486550 · Specialist · North Kingstown, RI
Provider details
- NPI number
- 1629486550
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Guerrino Boni, Owner(401) 465-8244
- License
- PT01838 (RI)
Specialties & taxonomies
Other Service Providers
Practice location
250 Scrabbletown Rd
North Kingstown, RI 02852-3016
Phone: (617) 326-3008
Approximate (ZIP-level) locationGet directions
Mailing address
250 Scrabbletown Rd
North Kingstown, RI 02852-3016
Registry dates
- Enumerated
- 2014-07-23
- Last updated
- 2018-01-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.