Individual provider Active NPI

Jody L Rabbitt, MSPT

  • Physical Therapist
  • Providence, RI
National Provider Identifier
1245413657
Registry record updated Mar 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
01669 Issued in RI
Practice address
1000 Eddy St
Providence, RI 02905-4739
Phone
(401) 533-9100
Fax
(401) 533-9105
NPI assigned
Dec 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 01669 RI Primary

Addresses

Primary practice location

1000 Eddy St
Providence, RI 02905-4739

Mailing address

1000 Eddy St
Providence, RI 02905-4739
Phone (401) 533-9100

Other identifiers 4

IdentifierTypeStateIssuer
1669OtherRI1669
SB870OtherRIBLUE CROSS
0614OtherRINEIGHBORHOOD HEALTH
ES01788MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01669RIMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458259200000",
    "number": "1245413657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 EDDY ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029054739",
            "telephone_number": "401-533-9100",
            "fax_number": "401-533-9105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 EDDY ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029054739",
            "telephone_number": "401-533-9100",
            "fax_number": "401-533-9105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABBITT",
        "first_name": "JODY",
        "middle_name": "L",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-07",
        "last_updated": "2016-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "01669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1669",
            "identifier": "1669",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "SB870",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH",
            "identifier": "0614",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ES01788",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.