Provider Demographics
NPI:1457485286
Name:THE RIGHT CHOICE PHYSICAL THERAPY SOUTH, INC
Entity Type:Organization
Organization Name:THE RIGHT CHOICE PHYSICAL THERAPY SOUTH, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE-PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:CARL
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:401-385-9530
Mailing Address - Street 1:28 NOOSENECK HILL RD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:WEST GREENWICH
Mailing Address - State:RI
Mailing Address - Zip Code:02817-1568
Mailing Address - Country:US
Mailing Address - Phone:401-385-9530
Mailing Address - Fax:401-385-9532
Practice Address - Street 1:455 BOSTON POST RD
Practice Address - Street 2:
Practice Address - City:OLD SAYBROOK
Practice Address - State:CT
Practice Address - Zip Code:06475-1516
Practice Address - Country:US
Practice Address - Phone:401-385-9530
Practice Address - Fax:401-385-9532
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT008064225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty