Individual provider Active NPI

Laine Watanabe, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Coventry, RI
National Provider Identifier
1124350103
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
MD17197 Issued in RI
Practice address
10 Woodland Dr
Coventry, RI 02816-6716
Phone
(872) 231-3162
NPI assigned
Feb 2, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X MD17197 RI Primary

Addresses

Primary practice location

10 Woodland Dr
Coventry, RI 02816-6716

Mailing address

PO Box 7411009
Chicago, IL 60674-3009
Phone (872) 231-3162

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, RI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20121221000375 CA Practitioner - Physical Medicine and Rehabilitation 4789837774 Reassigns benefits to 1 organization
I20201222001091 RI Practitioner - Physical Medicine and Rehabilitation 4789837774 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Docs PCGroup PAC ID 0547626871, 181 clinicians
West Coast Health and Rehab PCGroup PAC ID 8325315609, 29 clinicians

Practice addresses (Care Compare)

10 Woodland Dr
Coventry, RI 02816-6716
Phone (872) 231-3162

80 Morgan Ave
Johnston, RI 02919-6725
Phone (702) 899-0595

Merit-based Incentive Payment System (MIPS)

Final score
97.25 of 100Reported as group
Quality
85
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD17197RIMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Coast Health and Rehab PC Physical Medicine & Rehabilitation CurrentSince Oct 1, 2020 Accepting new patients
Permanente Medical Group Inc Physical Medicine & Rehabilitation CurrentSince Nov 3, 2012 Accepting new patients
Permanente Medical Group, Inc CurrentSince Nov 3, 2012 Accepting new patients
Permanente Medical Group Inc Physical Medicine & Rehabilitation Current Accepting new patients

Locations

1800 Harrison St
Fl 7
Oakland, CA 94612

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

546 Main St
Coventry, RI 02816
Phone (401) 596-2664

80 Morgan Ave
Johnston, RI 02919
Phone (401) 944-7800

610 Smithfield Rd
North Providence, RI 02904
Phone (401) 333-3445

544 Pleasant St
Pawtucket, RI 02860
Phone (401) 275-8888

50 Maude St
Providence, RI 02908
Phone (401) 456-2200

135 Dodge St
Providence, RI 02907
Phone (401) 383-5150

239 Legris Ave
West Warwick, RI 02893
Phone (401) 825-6102

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1265068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1124350103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7411009",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606743009",
            "telephone_number": "872-231-3162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 WOODLAND DR",
            "city": "COVENTRY",
            "state": "RI",
            "postal_code": "028166716",
            "telephone_number": "872-231-3162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATANABE",
        "first_name": "LAINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-02",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "RI",
            "license": "MD17197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coventry, RI

Sources for this page

Verify at the official NPI Registry.