The Miriam Hospital Outpatient Rehabilitation

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

License

00816 Issued in RI

Legal business name

THE MIRIAM HOSPITAL OUTPATIENT REHABILITATION

Practice address

195 Collyer St
Providence, RI 02904-1869

Phone

(401) 793-4080

NPI assigned

Aug 1, 2012

Organization subpart

No

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

Authorized official

Name

Miss Angelica Barajas

Title

Physical Therapist Assistant

Phone

(401) 793-4080

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1343779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343779200000",
    "number": "1649526286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 OAKRIDGE RD",
            "city": "NORTH SCITUATE",
            "state": "RI",
            "postal_code": "028571157",
            "telephone_number": "401-261-2082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 COLLYER ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029041869",
            "telephone_number": "401-793-4080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MIRIAM HOSPITAL OUTPATIENT REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-01",
        "last_updated": "2012-08-01",
        "status": "A",
        "authorized_official_last_name": "BARAJAS",
        "authorized_official_first_name": "ANGELICA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST ASSISTANT",
        "authorized_official_telephone_number": "401-793-4080",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "RI",
            "license": "00816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Miriam Hospital
• The Miriam Hospital
• The Miriam Hospital
• The Miriam Hospital
• The Miriam Hospital
• The Orthopaedic Institute
• The Plum Psychology, LLC
• The Presence of Care, LLC
• The Providence Center
• The Providence Center

• All providers in Providence, RI
• Comprehensive Outpatient Rehabilitation Facility (CORF) in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.