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Brian Duval

Physical Therapist โ€ข Woonsocket, RI

Active NPI 1437463080 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

16 Arnold St
Woonsocket, RI 028952902

Call 4017652030 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

16 Arnold St

Woonsocket, RI 028952902

Telephone 4017652030
Fax 4017697472
Organization at the Same NPPES Address or Phone
Orthopedic & Sports Physical Therapy , Inc Facility NPI 1790730547

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Greendale Physical Therapy Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2017

Medicare patients

135 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $55,890 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $44,041 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Years since graduation

9 years (graduated 2017)

CMS Doctors and Clinicians data list 2017 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2010

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Brian Duval has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Woonsocket and Rhode Island

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 65% of clinicians listed under Physical Therapist in Rhode Island (2024, 426 clinicians with data). Median for this group: 1,333. Middle half: 742 to 2,179.

Too few clinicians listed under Physical Therapist in Woonsocket have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A higher Medicare-allowed amount than 70% of clinicians listed under Physical Therapist in Rhode Island (2024, 426 clinicians with data). Median for this group: $37,539. Middle half: $20,513 to $60,479.

Too few clinicians listed under Physical Therapist in Woonsocket have Medicare Part B data for 2024 to compare.

Paid by Medicare

A higher Medicare payment amount than 70% of clinicians listed under Physical Therapist in Rhode Island (2024, 426 clinicians with data). Median for this group: $28,632. Middle half: $15,287 to $45,599.

Too few clinicians listed under Physical Therapist in Woonsocket have Medicare Part B data for 2024 to compare.

21 active clinicians are listed under Physical Therapist with a practice address in Woonsocket, RI (1,237 in Rhode Island).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Woonsocket

0% of these 21 clinicians have the CMS telehealth indicator.

52.4% of these 21 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2017โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes
409 98 $95.00 $26.54
97140 Therapy procedure using manual technique, each 15 minutes
390 98 $85.00 $20.47
97530 Therapy procedure using functional activities
367 94 $100.00 $34.22
97113 Therapy procedure using water pool to exercises, each 15 minutes
237 19 $85.00 $30.22
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
217 74 $90.00 $22.37
97535 Training for self-care or home management, each 15 minutes
184 87 $120.00 $26.29
97161 Evaluation for physical therapy, typically 20 minutes
39 39 $225.00 $102.10
97164 Re-evaluation for physical therapy, typically 20 minutes
30 26 $125.00 $70.91
97162 Evaluation for physical therapy, typically 30 minutes
15 15 $225.00 $102.04

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Specialties & License Numbers Reported to NPPES

Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

License # reported to NPPES RI PT03015

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Rhode Island State Medical Licensing Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE

Medicare Enrollment ID

I20231211001480

Enrollment State Jurisdiction

MA

PECOS Control ID

2466723358

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Greendale Physical Therapy Llc

280 Boston Tpke, Shrewsbury, MA 015452640

Phone: 5087537780

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

8 listed
Dr. Jessica Boyd , DPT

Physical Therapist

NPI 1063795920

Doctor of Physical Therapy

Dr. Kelly Dowd , DPT

Physical Therapist

NPI 1013446525

Doctor of Physical Therapy

Tayla Foulkrod

Physical Therapist

NPI 1730854092
Dr. Richard Letrero , DPT

Physical Therapist

NPI 1538616735

Doctor of Physical Therapy

Dr. Sara Newberry , DPT

Physical Therapist

NPI 1962251306

Doctor of Physical Therapy

Dr. Pat Procaccini , DPT

Physical Therapist

NPI 1174006860

Doctor of Physical Therapy

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

13 Historical Events
โœ…
NPI Profile Active December 04, 2017

NPI status registered as active in NPPES database

๐Ÿ“
Updated Practice Location December 04, 2017

Registered at 16 ARNOLD ST, WOONSOCKET, RI 028952902 (Tel: 4017652030)

๐Ÿ“
Updated Business Mailing Address December 04, 2017

Registered at 4 RICHMOND SQ STE 200, PROVIDENCE, RI 029065117 (Tel: (401) 433-4172)

๐Ÿ‘ค
Provider Name / Credentials Updated December 04, 2017

Recorded as BRIAN DUVAL

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 04, 2017

Physical Therapist (license number reported to NPPES: RI PT03015)

๐Ÿ“
Updated Practice Location May 31, 2017

Registered at 16 ARNOLD ST, WOONSOCKET, RI 028952902 (Tel: 4017652030)

๐Ÿ“
Updated Business Mailing Address May 31, 2017

Registered at 4 RICHMOND SQ STE 200, PROVIDENCE, RI 029065117 (Tel: (401) 433-4172)

โœ…
NPI Profile Active August 05, 2010

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) August 05, 2010

Registered at 18 MARANOOK RD, WORCESTER, MA 016062904 (Tel: 5083406073)

๐Ÿ“
Business Mailing Address (Initial Record) August 05, 2010

Registered at 18 MARANOOK RD, WORCESTER, MA 016062904

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) August 05, 2010

Recorded as BRIAN DUVAL

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 05, 2010

Counselor

๐ŸŸข
Initial NPI Registration & Enumeration August 05, 2010

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1437463080
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 05, 2010
Last Update: July 21, 2022
Sole Proprietor: No

Other Physical Therapists in Woonsocket

All Physical Therapists in Woonsocket

Mailing Address

4 Richmond Sq Ste 200

Providence, RI 029065117

Phone: 4014334172

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.