Organization Active NPI

Northern R I Rehab Management Associates LP

  • Physical Medicine & Rehabilitation Physician
  • N Smithfield, RI
National Provider Identifier
1578885224
Registry record updated Jan 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
MD08700 Issued in RI
Legal business name
NORTHERN R I REHAB MANAGEMENT ASSOCIATES LP
Practice address
116 Eddie Dowling Hwy
Rehab Hospital of Ri
N Smithfield, RI 02896-7327
Phone
(401) 766-0800
NPI assigned
Feb 23, 2010
Last updated
Jan 31, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2013

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

Authorized official

Name
Richard R Charest
Title
President & Ceo
Phone
(401) 769-4100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PS309 RI
Physical Medicine & Rehabilitation Physician 208100000X MD08700 RI Primary

Addresses

Primary practice location

116 Eddie Dowling Hwy
Rehab Hospital of Ri
N Smithfield, RI 02896-7327

Mailing address

298 Armistice Blvd
Pawtucket, RI 02861-2331
Phone (401) 723-5533

Other identifiers 1

IdentifierTypeStateIssuer
004002OtherBLUE CHIP

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1266883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359590400000",
    "number": "1578885224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "298 ARMISTICE BLVD",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028612331",
            "telephone_number": "401-723-5533",
            "fax_number": "401-723-3833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 EDDIE DOWLING HWY",
            "address_2": "REHAB HOSPITAL OF RI",
            "city": "N SMITHFIELD",
            "state": "RI",
            "postal_code": "028967327",
            "telephone_number": "401-766-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN R I REHAB MANAGEMENT ASSOCIATES LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-23",
        "last_updated": "2013-01-31",
        "status": "A",
        "authorized_official_last_name": "CHAREST",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "401-769-4100"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "RI",
            "license": "PS309",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "RI",
            "license": "MD08700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "004002",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in N Smithfield, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; 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.