# RHODE ISLAND REHABILITATION INSTITUTE P.C,

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- **Entity:** Organization
- **Status:** Active
- **Other names:** RI REHAB
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306896311
- **Authorized official:** MR. HENRY SISUN MSPT (PRESIDENT/CEO)
- **Authorized official phone:** (401) 946-4250

## Contact information

- **Practice address:** 721 RESERVOIR AVE, CRANSTON, RI 02910-4430
- **Practice address phone:** (401) 946-4250
- **Practice address fax:** (401) 942-3960
- **Mailing address:** 721 RESERVOIR AVE, CRANSTON, RI 02910-4430
- **Mailing address phone:** (401) 946-4250
- **Mailing address fax:** (401) 942-3960

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133V00000X | Registered Dietitian | — | NULL | — |
| 133V00000X | Registered Dietitian | — | — | — |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |

## Other

- **Enumeration date:** 05/11/2006
- **Last updated:** 03/09/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1235110073 | OWNER /OP NATIONAL PIN \# | — |
| 01 | — | 19016 | NEIGHBORHOOD HEALTH PLAN | RI |
| 01 | — | 484225 | AETNA | RI |
| 01 | — | 64-00132 | UHC | RI |
| 01 | — | 7536-1 | BCBSRI GROUP \# | RI |
| 01 | — | CA-6711 | RAILROAD MEDICARE GROUP | RI |
| 01 | — | HPAA46233 | HARVARD PILGRIM HC GROUP | RI |