MR. JONATHAN LIZOTTE PTA NPI 1063466308

NPI Information

NPI: 1063466308
Provider Name: MR. JONATHAN LIZOTTE, PTA
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address: 721 RESERVOIR AVE
CRANSTON, RI
ZIP 02910
Phone: (401) 946-4250

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NPI Details

MR. Jonathan Lizotte, PTA is a massage therapist in Cranston, RI. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. MR. Jonathan Lizotte, PTA NPI is 1063466308. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

721 RESERVOIR AVE
CRANSTON, RI
ZIP 02910-430
Phone: (401) 946-4250
Fax: (401) 275-5645

The enumeration date for this NPI number is 5/20/2006 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225200000X	Physical Therapy Assistant		PTA00318	RHODE ISLAND	No
2	225700000X	Massage Therapist		MT00964	RHODE ISLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	MT00964	OTHER	RHODE ISLAND	MASSAGE THERAPY LICENSE
2	PTA00318	OTHER	RHODE ISLAND	PHYSICAL THERAPY ASST. LC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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