# NORTHERN R I REHAB MANAGEMENT ASSOCIATES LP

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

## Provider details

- **NPI number:** 1578885224
- **Authorized official:** RICHARD R CHAREST (PRESIDENT & CEO)
- **Authorized official phone:** (401) 769-4100

## Contact information

- **Practice address:** 116 EDDIE DOWLING HWY, REHAB HOSPITAL OF RI, N SMITHFIELD, RI 02896-7327
- **Practice address phone:** (401) 766-0800
- **Mailing address:** 298 ARMISTICE BLVD, PAWTUCKET, RI 02861-2331
- **Mailing address phone:** (401) 723-5533
- **Mailing address fax:** (401) 723-3833

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103G00000X | Clinical Neuropsychologist | PS309 | RI | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | MD08700 | RI | Yes |

## Other

- **Enumeration date:** 02/23/2010
- **Last updated:** 01/31/2013