Provider Demographics
NPI:1639109168
Name:TENTE, ROBERT K (PT)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:K
Last Name:TENTE
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 1:1051 TEN ROD RD
Mailing Address - Street 2:SUITE B - 2/2
Mailing Address - City:NORTH KINGSTOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02852-4163
Mailing Address - Country:US
Mailing Address - Phone:401-294-0455
Mailing Address - Fax:401-583-0027
Practice Address - Street 1:1051 TEN ROD RD
Practice Address - Street 2:SUITE B - 2/2
Practice Address - City:NORTH KINGSTOWN
Practice Address - State:RI
Practice Address - Zip Code:02852-4163
Practice Address - Country:US
Practice Address - Phone:401-294-0455
Practice Address - Fax:401-583-0027
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIPT 627225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIS 50714Medicare UPIN