# ORTHOPEDICS RHODE ISLAND, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407231293
- **Authorized official:** KYLE ANDERSON (VICE PRESIDENT OF ASC & ANCILLARY)
- **Authorized official phone:** (401) 777-7000

## Contact information

- **Practice address:** 300 CROSSINGS BLVD, WARWICK, RI 02886-2878
- **Practice address phone:** (401) 777-7000
- **Mailing address:** 200 CROSSINGS BLVD STE 310, WARWICK, RI 02886-2872
- **Mailing address phone:** (401) 777-7000
- **Mailing address fax:** (401) 782-6810

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | NULL | — |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | — | — |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 213E00000X | Podiatrist | — | NULL | — |
| 213E00000X | Podiatrist | — | — | — |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 07/22/2015
- **Last updated:** 09/18/2026
