Provider Demographics
NPI:1467560219
Name:RABITO, RICHARD A JR (MSPT)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:A
Last Name:RABITO
Suffix:JR
Gender:M
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:872 SMITHFIELD AVENUE
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:RI
Mailing Address - Zip Code:02865
Mailing Address - Country:US
Mailing Address - Phone:401-722-0012
Mailing Address - Fax:401-722-0056
Practice Address - Street 1:872 SMITHFIELD AVENUE
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:RI
Practice Address - Zip Code:02865
Practice Address - Country:US
Practice Address - Phone:401-722-0012
Practice Address - Fax:401-722-0056
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2007-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI01977225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist