Provider Demographics
NPI:1417080524
Name:CIARNIELLO, DINO (PT)
Entity Type:Individual
Prefix:MR
First Name:DINO
Middle Name:
Last Name:CIARNIELLO
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1524 ATWOOD AVE
Mailing Address - Street 2:SUITE 140
Mailing Address - City:JOHNSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02919-3228
Mailing Address - Country:US
Mailing Address - Phone:401-633-3020
Mailing Address - Fax:401-351-6201
Practice Address - Street 1:1524 ATWOOD AVE
Practice Address - Street 2:SUITE 140
Practice Address - City:JOHNSTON
Practice Address - State:RI
Practice Address - Zip Code:02919-3228
Practice Address - Country:US
Practice Address - Phone:401-633-3020
Practice Address - Fax:401-351-6201
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2012-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIPT01324225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI409448OtherBLUECHIP
RI2216862OtherUNITEDHEALTHCARE
RI2273481OtherFIRSTHEALTH
RI1458872OtherAETNA
RI31948-5OtherBLUE CROSSBLUE CROSS RI
RI9465323OtherPHCS
RI1458872OtherAETNA