Rhode Island Lymphedema Therapy, LLC
Organization Active NPI Rehabilitation Clinic/Center · Coventry, RI
NPI 1295458784 · NPPES record last updated Sep 21, 2022
Key facts
- NPI
- 1295458784
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rehabilitation Clinic/Center 261QR0400X
- Legal business name
- RHODE ISLAND LYMPHEDEMA THERAPY, LLC
- Practice address
- 4 Coventry Shoppers Park
Coventry, RI 02816-5702 - Phone
- (401) 368-4263
- NPI assigned
- Sep 21, 2022
- Organization subpart
- No
Authorized official
- Name
- Amanda Sarah Brown, OTR/L, CLT
- Title
- Lymphedema Therapist/OT
- Phone
- (401) 368-4263
Practitioners 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in RI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221205000651 | RI | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 0446629000 |
Receives reassigned benefits from 2 practitioners Practice locations: Coventry, RI |
National Provider Directory
Locations
4 Coventry Shoppers Park
Coventry, RI 02816
Phone (401) 368-4263
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | Yes |
Addresses
Primary practice location
4 Coventry Shoppers Park
Coventry, RI 02816-5702
Mailing address
107 Bayview Ave
North Kingstown, RI 02852-1207
Phone (401) 368-4263
Other names
- Amanda Brown, OTR/L, CLT
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | RIlymphedematherapy@gmail.com | Health Information Exchange (HIE) |
Other providers in Coventry, RI
- Rhode Island Center for Ocd and Anxiety LLC
- Rhode Island Childrens Dentistry
- Rhode Island Community Living and Supports (Riclas)
- Rhode Island Community Living and Supports (Riclas)
- Rhode Island CVS Pharmacy, L.L.C.
- Ri Specialty Dental Services, LLC
- Ri Specialty Dental Services, LLC
- Rocco Steven Riccitelli
- Michelle Riley
- Riverview Nursing Home. Inc.
All providers in Coventry, RI · Rehabilitation Clinic/Center in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.