Provider Demographics
NPI:1225371867
Name:RHODE ISLAND PHYSICAL THERAPY AND SPORTS MEDICINE INC
Entity Type:Organization
Organization Name:RHODE ISLAND PHYSICAL THERAPY AND SPORTS MEDICINE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:SPARROW
Authorized Official - Suffix:
Authorized Official - Credentials:PT,DPT
Authorized Official - Phone:401-527-4368
Mailing Address - Street 1:621 POUND HILL RD
Mailing Address - Street 2:
Mailing Address - City:N SMITHFIELD
Mailing Address - State:RI
Mailing Address - Zip Code:02896-9358
Mailing Address - Country:US
Mailing Address - Phone:401-527-4368
Mailing Address - Fax:
Practice Address - Street 1:621 POUND HILL RD
Practice Address - Street 2:
Practice Address - City:N SMITHFIELD
Practice Address - State:RI
Practice Address - Zip Code:02896-9358
Practice Address - Country:US
Practice Address - Phone:401-527-4368
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-02
Last Update Date:2013-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty