Rhode Island Lymphedema Therapy, LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

RHODE ISLAND LYMPHEDEMA THERAPY, LLC

Doing business as

Amanda Brown, OTR/L, CLT

Practice address

4 Coventry Shoppers Park
Coventry, RI 02816-5702

Phone

(401) 368-4263

NPI assigned

Sep 21, 2022

Last updated

Sep 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amanda Sarah Brown, OTR/L, CLTNPI 1902359367

Title

Lymphedema Therapist/OT

Phone

(401) 368-4263

Specialties & licenses 1

Addresses

Other names 1

• Amanda Brown, OTR/L, CLT Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amanda Brown

  • Occupational Therapist
  • Coventry, RI
  • NPI 1902359367
  Medicare reassignment Care Compare group NPD Authorized official
• Kerri Lee Pierce

  • Occupational Therapist
  • Coventry, RI
  • NPI 1437606795
  Medicare reassignment Care Compare group NPD
• Erin Elizabeth Grady

  • Occupational Therapy Assistant
  • Coventry, RI
  • NPI 1497577241
  NPD

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

{
    "created_epoch": "1663718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663718400000",
    "number": "1295458784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 BAYVIEW AVE",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028521207",
            "telephone_number": "401-368-4263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 COVENTRY SHOPPERS PARK",
            "city": "COVENTRY",
            "state": "RI",
            "postal_code": "028165702",
            "telephone_number": "401-368-4263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHODE ISLAND LYMPHEDEMA THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-21",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "SARAH",
        "authorized_official_title_or_position": "LYMPHEDEMA THERAPIST/OT",
        "authorized_official_telephone_number": "401-368-4263",
        "authorized_official_credential": "OTR/L, CLT"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "RIlymphedematherapy@gmail.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4 Coventry Shoppers Park",
            "city": "Coventry",
            "state": "RI",
            "country_code": "US",
            "postal_code": "028165702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Amanda Brown, OTR/L, CLT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Rehabilitation Clinic/Center in Coventry, RI
• Providers in Coventry, RI by specialty
• Rehabilitation Clinic/Center in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.