IndividualActive
Brandon Theroux, PT, DPT
NPI 1629699590 · Physical Therapist · East Greenwich, RI
Provider details
- NPI number
- 1629699590
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT, DPT
- Sex
- Male
- Sole proprietor
- No
- License
- PT03110 (RI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1351 S County Trl
East Greenwich, RI 02818-5105
Phone: (401) 886-4650
Approximate (ZIP-level) locationGet directions
Mailing address
28 Lancer Ln
West Warwick, RI 02893-5558
Registry dates
- Enumerated
- 2020-05-02
- Last updated
- 2020-05-02
- Certified
- 2020-05-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.