1336125988 NPI number — THE RIGHT CHOICE PHYSICAL THERAPY, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1336125988 NPI number — THE RIGHT CHOICE PHYSICAL THERAPY, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THE RIGHT CHOICE PHYSICAL THERAPY, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1336125988
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
28 NOOSENECK HILL RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WEST GREENWICH
Provider Business Mailing Address State Name:
RI
Provider Business Mailing Address Postal Code:
02817-1568
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
401-385-9530
Provider Business Mailing Address Fax Number:
401-385-9532

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
28 NOOSENECK HILL RD
Provider Second Line Business Practice Location Address:
SUITE #3
Provider Business Practice Location Address City Name:
WEST GREENWICH
Provider Business Practice Location Address State Name:
RI
Provider Business Practice Location Address Postal Code:
02817-1568
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
401-385-9530
Provider Business Practice Location Address Fax Number:
401-385-9532
Provider Enumeration Date:
12/15/2005

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
NELSON
Authorized Official First Name:
CHERYL
Authorized Official Middle Name:
ANN
Authorized Official Title or Position:
PATIENT ACCOUNTS
Authorized Official Telephone Number:
401-385-9530

Provider Taxonomy Codes

  • Taxonomy code: 225200000X , with the licence number:  PTA00104 , registered in the state of RI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 7493581 . This is a "AETNA PPO" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 30191 . This is a "NEIGHBORHOOD HEALTHPLAN" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 408727 . This is a "BLUE CHIP" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 5548183 . This is a "FIRST HEALTH NETWORK" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 3561754 . This is a "AETNA HMO" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 080001649RI01 . This is a "ANTHEM BLUE CROSS" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 27681-4 . This is a "RI BLUE CROSS" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".