Provider Demographics
NPI:1255531513
Name:UNIVERSITY REHABILITATION
Entity type:Organization
Organization Name:UNIVERSITY REHABILITATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSIATRIST IN CHIEF
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:R
Authorized Official - Last Name:PARZIALE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:401-435-2288
Mailing Address - Street 1:450 VETERANS MEMORIAL PARKWAY
Mailing Address - Street 2:BUILDING 12
Mailing Address - City:EAST PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02914
Mailing Address - Country:US
Mailing Address - Phone:401-435-2288
Mailing Address - Fax:401-435-2282
Practice Address - Street 1:450 VETERANS MEMORIAL PARKWAY
Practice Address - Street 2:BUILDING 12
Practice Address - City:EAST PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02914
Practice Address - Country:US
Practice Address - Phone:401-435-2288
Practice Address - Fax:401-435-2282
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-24
Last Update Date:2007-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIDO00614208100000X
RIPT01685225100000X
RIMD069162081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Multi-Specialty
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty