Form & Function Physical Therapy and Sports Medicine LLC
NPI 1629486550 · Specialist · North Kingstown, RI
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Form & Function Physical Therapy and Sports Medicine LLC is a Specialist organization in North Kingstown, RI (NPI 1629486550).
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
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-07-23
- Last updated
- 2018-01-31
Frequently asked questions
- What is Form & Function Physical Therapy and Sports Medicine LLC's NPI number?
- Form & Function Physical Therapy and Sports Medicine LLC's National Provider Identifier (NPI) is 1629486550, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Form & Function Physical Therapy and Sports Medicine LLC?
- Form & Function Physical Therapy and Sports Medicine LLC is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Form & Function Physical Therapy and Sports Medicine LLC located?
- Form & Function Physical Therapy and Sports Medicine LLC's practice location on file with NPPES is 250 Scrabbletown Rd, North Kingstown, RI 02852-3016.
- What is Form & Function Physical Therapy and Sports Medicine LLC's phone number?
- The practice phone number listed in the NPPES registry for Form & Function Physical Therapy and Sports Medicine LLC is (617) 326-3008.
- Does Form & Function Physical Therapy and Sports Medicine LLC accept Medicare?
- Form & Function Physical Therapy and Sports Medicine LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Form & Function Physical Therapy and Sports Medicine LLC?
- The authorized official listed on Form & Function Physical Therapy and Sports Medicine LLC's NPPES record is Guerrino Boni, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Form & Function Physical Therapy and Sports Medicine LLC's NPI active?
- Yes — Form & Function Physical Therapy and Sports Medicine LLC's NPI (1629486550) is active in the NPPES registry as of the last update on 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.