Organization
RHODE ISLAND REHABILITATION INSTITUTE P.C,
Active
Other names
RI REHAB
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HENRY SISUN MSPT (PRESIDENT/CEO)
(401) 946-4250
Entity
Organization
Contact information
Practice address
721 RESERVOIR AVE, CRANSTON, RI 02910-4430
(401) 946-4250
(401) 942-3960
Mailing address
721 RESERVOIR AVE, CRANSTON, RI 02910-4430
(401) 946-4250
(401) 942-3960
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
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
Enumeration date
05/11/2006
Last updated
03/09/2015
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