Provider Demographics
NPI:1992746317
Name:BELMAGGIO, THOMAS DAVID JR (ATC)
Entity type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:DAVID
Last Name:BELMAGGIO
Suffix:JR
Gender:M
Credentials:ATC
Other - Prefix:
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Mailing Address - Street 1:7 ROBERTSON RD
Mailing Address - Street 2:
Mailing Address - City:NARRAGANSETT
Mailing Address - State:RI
Mailing Address - Zip Code:02882-5133
Mailing Address - Country:US
Mailing Address - Phone:401-255-9827
Mailing Address - Fax:
Practice Address - Street 1:3 KEANEY RD
Practice Address - Street 2:SUITE 1
Practice Address - City:KINGSTON
Practice Address - State:RI
Practice Address - Zip Code:02881-1111
Practice Address - Country:US
Practice Address - Phone:401-255-3489
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIAT001922255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer