Provider Demographics
NPI:1225476732
Name:PROCARE THERAPY SERVICES, INC
Entity Type:Organization
Organization Name:PROCARE THERAPY SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:CELESTE
Authorized Official - Middle Name:
Authorized Official - Last Name:RUGGIERI-JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-339-4262
Mailing Address - Street 1:1441 PARK AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02920-6632
Mailing Address - Country:US
Mailing Address - Phone:401-270-2500
Mailing Address - Fax:401-415-6055
Practice Address - Street 1:1441 PARK AVE
Practice Address - Street 2:SUITE A
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02920-6632
Practice Address - Country:US
Practice Address - Phone:401-270-2500
Practice Address - Fax:401-415-6055
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-06
Last Update Date:2019-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI224Z00000X, 225100000X, 225200000X, 225X00000X, 235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy AssistantGroup - Multi-Specialty
No225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy AssistantGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty