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

Chimeng Justin Thao

Individual provider Physical Therapy Assistant · NPI 1497691810

Chimeng Justin Thao is a Physical Therapy Assistant in Pawtucket, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2026.

Licensed in
RI
In the registry since
2026

Practice location Address checks out

588 Pawtucket Ave
Pawtucket, RI 02860-6057
Phone: (401) 728-6500
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA01448 (RI)

Record details

NPI number1497691810
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 27, 2026
Last updated in NPPESApril 27, 2026
Certification dateApril 27, 2026
Mailing address20 Marblehead Ave, North Providence, RI 02904-4267

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