Rhode Island Rehabilitation Institute P.C,

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

RHODE ISLAND REHABILITATION INSTITUTE P.C,

Practice address

721 Reservoir Ave
Cranston, RI 02910-4430

Phone

(401) 946-4250

Fax

(401) 942-3960

NPI assigned

May 11, 2006

Last updated

Mar 9, 2015By 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

Mr. Henry Sisun, MSPTNPI 1235110073

Title

President/Ceo

Phone

(401) 946-4250

Specialties & licenses 3

Addresses

Other identifiers 7

Other names 1

• RI REHAB Other name

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Back on Track, P.C.

  • Occupational Therapist
  • Brookline, MA
  • NPI 1255484168

  Member Of

  NPD member

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Back on Track, P.C.

  • Occupational Therapist
  • Brookline, MA
  • NPI 1255484168

  Member Of

  NPD member

Locations

Practitioners 8

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.

• Henry Sisun, M.S.P.T.

  • Physical Therapist
  • Cranston, RI
  • NPI 1235110073
  Authorized official Same address or phone
• Gina Devito, PT, DPT

  • Physical Therapist
  • Bristol, RI
  • NPI 1316656077
  NPD
• Michael J Gray, PT

  • Physical Therapist
  • Warwick, RI
  • NPI 1679878995
  NPD
• Gregory J Motta, PT

  • Physical Therapist
  • Cranston, RI
  • NPI 1932531910
  NPD
• Lauren Yamada, DPT

  • Physical Therapist
  • Providence, RI
  • NPI 1124621008
  NPD
• Christy C Ciesla, PT

  • Physical Therapist
  • Cranston, RI
  • NPI 1215972708
  NPD (past)
• John D. McNulty, P.T.

  • Physical Therapist
  • Cranston, RI
  • NPI 1467405829
  NPD (past)
• Nicholas Phommachanh, DPT

  • Physical Therapist
  • Providence, RI
  • NPI 1790680510
  NPD (past)

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425859200000",
    "number": "1306896311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 RESERVOIR AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029104430",
            "telephone_number": "401-946-4250",
            "fax_number": "401-942-3960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 RESERVOIR AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029104430",
            "telephone_number": "401-946-4250",
            "fax_number": "401-942-3960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHODE ISLAND REHABILITATION INSTITUTE P.C,",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2015-03-09",
        "status": "A",
        "authorized_official_last_name": "SISUN",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "401-946-4250",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "19016",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE  GROUP",
            "identifier": "CA-6711",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "484225",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "64-00132",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HC GROUP",
            "identifier": "HPAA46233",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSRI GROUP #",
            "identifier": "7536-1",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWNER /OP NATIONAL PIN #",
            "identifier": "1235110073",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RI REHAB",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rhode Island Optometrics, LLC
• Rhode Island Optometrics, LLC
• Rhode Island Primary Care, Inc. (Family Health & Sports Medicine)
• Rhode Island Psychology, LLC
• Rhode Island Rehabilitation Center
• Rhode Island Spine & Injury Institute
• Rhode Island State Psychiatric Hospital
• Rhode Island State Psychiatric Hospital Pharmacy
• Rhodesview Psychiatry LLC
• Ri Community Living and Supports

• Physical Therapist in Cranston, RI
• Providers in Cranston, RI by specialty
• Physical Therapist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; 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.