Provider Demographics
NPI:1043236656
Name:TRU-CARE PHYSICAL THERAPY INC.
Entity Type:Organization
Organization Name:TRU-CARE PHYSICAL THERAPY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:HAMMOND
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:401-884-9541
Mailing Address - Street 1:18 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:EAST GREENWICH
Mailing Address - State:RI
Mailing Address - Zip Code:02818-3108
Mailing Address - Country:US
Mailing Address - Phone:401-884-9541
Mailing Address - Fax:401-884-9509
Practice Address - Street 1:18 5TH AVE
Practice Address - Street 2:
Practice Address - City:EAST GREENWICH
Practice Address - State:RI
Practice Address - Zip Code:02818-3108
Practice Address - Country:US
Practice Address - Phone:401-884-9541
Practice Address - Fax:401-884-9509
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-15
Last Update Date:2008-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIA130951OtherMULTIPLAN GROUP NUMBER
RI64-00054OtherUNITED HEALTHCARE GROUP
RI104988200OtherDEPARTMENT OF LABOR WC
RI8333OtherNHPRI GROUP NUMBER
RI7800-9OtherBCBS OF RI GROUP NUMBER
RIA130951OtherMULTIPLAN GROUP NUMBER