Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Form & Function Physical Therapy and Sports Medicine LLC

Organization Specialist · NPI 1629486550

Form & Function Physical Therapy and Sports Medicine LLC is a Specialist in North Kingstown, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2014.

Licensed in
RI
In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

250 Scrabbletown Rd
North Kingstown, RI 02852-3016
Phone: (617) 326-3008
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence PT01838 (RI)

Record details

NPI number1629486550
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Guerrino Boni — Owner · (401) 465-8244
NPI enumeratedJuly 23, 2014
Last updated in NPPESJanuary 31, 2018
Mailing address250 Scrabbletown Rd, North Kingstown, RI 02852-3016

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