Provider Demographics
NPI:1508991258
Name:RI THERAPY SERVICES
Entity Type:Organization
Organization Name:RI THERAPY SERVICES
Other - Org Name:PHYSICAL THERAPY SERVICES OF RI
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:S
Authorized Official - Last Name:NOONAN
Authorized Official - Suffix:
Authorized Official - Credentials:MS,PT
Authorized Official - Phone:401-295-8500
Mailing Address - Street 1:300 TOWER HILL RD
Mailing Address - Street 2:
Mailing Address - City:NORTH KINGSTOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02852-4814
Mailing Address - Country:US
Mailing Address - Phone:401-295-8500
Mailing Address - Fax:401-295-8536
Practice Address - Street 1:300 TOWER HILL RD
Practice Address - Street 2:
Practice Address - City:NORTH KINGSTOWN
Practice Address - State:RI
Practice Address - Zip Code:02852-4814
Practice Address - Country:US
Practice Address - Phone:401-295-8500
Practice Address - Fax:401-295-8536
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI659007533Medicare ID - Type Unspecified