Individual provider Active NPI

Robert Louis Corriea, MS PT

  • Physical Therapist
  • Warwick, RI
National Provider Identifier
1295807998
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
3445 Post Road
J Arthur Trudeau Memorial Center Attn Kim Ruelle HR
Warwick, RI 02886-7147
Phone
(401) 739-2700
Fax
(401) 737-8907
NPI assigned
Nov 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 Primary

Addresses

Primary practice location

3445 Post Road
J Arthur Trudeau Memorial Center Attn Kim Ruelle HR
Warwick, RI 02886-7147

Mailing address

3445 Post Road
J Arthur Trudeau Memorial Center Attn Kim Ruelle HR
Warwick, RI 02886-7147
Phone (401) 739-2700

Other identifiers 5

IdentifierTypeStateIssuer
408243OtherRIBLUE CHIP
KC02260MedicaidRI
232472OtherRIBCBS
42240177OtherRINEIGHBORHOOD HEALTH
6400187OtherRIUNITED HEALTHCARE

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
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295807998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3445 POST ROAD",
            "address_2": "J ARTHUR TRUDEAU MEMORIAL CENTER ATTN KIM RUELLE HR",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028867147",
            "telephone_number": "401-739-2700",
            "fax_number": "401-737-8907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3445 POST ROAD",
            "address_2": "J ARTHUR TRUDEAU MEMORIAL CENTER ATTN KIM RUELLE HR",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028867147",
            "telephone_number": "401-739-2700",
            "fax_number": "401-737-8907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORRIEA",
        "first_name": "ROBERT",
        "middle_name": "LOUIS",
        "credential": "MS PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "408243",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "KC02260",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "232472",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH",
            "identifier": "42240177",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "6400187",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.