Organization Active NPI

Rhode Island Limb Co Inc

  • Prosthetic/Orthotic Supplier
  • Pawtucket, RI
National Provider Identifier
1619224789
Registry record updated Nov 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
CP00009 Issued in RI
Legal business name
RHODE ISLAND LIMB CO INC
Practice address
59 Prospect St
Suite B
Pawtucket, RI 02860-4482
Phone
(401) 475-3501
Fax
(401) 475-3516
NPI assigned
Aug 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2012

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

Authorized official

Name
Mr. Jonathan R Teoli
Title
Vice President
Phone
(401) 941-6230

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X CP00009 RI Primary

Addresses

Primary practice location

59 Prospect St
Suite B
Pawtucket, RI 02860-4482

Mailing address

1559 Elmwood Ave
Cranston, RI 02910-3845
Phone (401) 941-6230

Other identifiers 1

IdentifierTypeStateIssuer
9009704MedicaidRI

National Provider Directory

National Provider Directory

Locations

59 Prospect St
Ste B
Pawtucket, RI 02860
Phone (401) 475-0200

NPI Registry JSON

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

{
    "created_epoch": "1344384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352851200000",
    "number": "1619224789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1559 ELMWOOD AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029103845",
            "telephone_number": "401-941-6230",
            "fax_number": "401-941-6339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 PROSPECT ST",
            "address_2": "SUITE B",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028604482",
            "telephone_number": "401-475-3501",
            "fax_number": "401-475-3516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHODE ISLAND LIMB CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-08",
        "last_updated": "2012-11-14",
        "status": "A",
        "authorized_official_last_name": "TEOLI",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "401-941-6230",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "RI",
            "license": "CP00009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9009704",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawtucket, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2012; 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.