1447304530 NPI number — DR. ALISA ANN WEBBER-GAFFNEY DPT, MSPT, OTR/L

Table of content: DR. ALISA ANN WEBBER-GAFFNEY DPT, MSPT, OTR/L (NPI 1447304530)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1447304530 NPI number — DR. ALISA ANN WEBBER-GAFFNEY DPT, MSPT, OTR/L

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WEBBER-GAFFNEY
Provider First Name:
ALISA
Provider Middle Name:
ANN
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DPT, MSPT, OTR/L
Provider Gender Code:
F

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:
1447304530
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/01/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1193 RESERVOIR AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CRANSTON
Provider Business Mailing Address State Name:
RI
Provider Business Mailing Address Postal Code:
02920-6008
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
401-228-3939
Provider Business Mailing Address Fax Number:
401-383-3043

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1193 RESERVOIR AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CRANSTON
Provider Business Practice Location Address State Name:
RI
Provider Business Practice Location Address Postal Code:
02920-6008
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
401-228-3939
Provider Business Practice Location Address Fax Number:
401-383-3043
Provider Enumeration Date:
01/23/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225X00000X , registered in the state of RI ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 225100000X , 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)





Copyright © 2007-2025 www.npivalidator.com