Organization Active NPI

Beyond Basics Rehabilitation, LLC

  • Physical Therapy Clinic/Center
  • Cranston, RI
National Provider Identifier
1659645588
Registry record updated Feb 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
BEYOND BASICS REHABILITATION, LLC
Practice address
940 Reservoir Ave
Suite a
Cranston, RI 02910-4418
Phone
(401) 228-3939
Fax
(401) 398-0998
NPI assigned
Feb 23, 2012
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Tracie Delsesto, PT
Title
Owner
Phone
(401) 228-3939

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Locations

940 Reservoir Ave
Ste A
Cranston, RI 02910
Phone (401) 228-3939

1485 S County Trl
East Greenwich, RI 02818
Phone (401) 530-5089

155 Jefferson Blvd
Ste Cc
Warwick, RI 02888
Phone (401) 885-7600

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

NPPES NPI Registry

Primary practice location

940 Reservoir Ave
Suite a
Cranston, RI 02910-4418

Mailing address

940 Reservoir Ave
Suite a
Cranston, RI 02910-4418
Phone (401) 228-3939

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 23, 2012.

{
    "created_epoch": "1329955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329955200000",
    "number": "1659645588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 RESERVOIR AVE",
            "address_2": "SUITE A",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029104418",
            "telephone_number": "401-228-3939",
            "fax_number": "401-398-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 RESERVOIR AVE",
            "address_2": "SUITE A",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029104418",
            "telephone_number": "401-228-3939",
            "fax_number": "401-398-0998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEYOND BASICS REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-23",
        "last_updated": "2012-02-23",
        "status": "A",
        "authorized_official_last_name": "DELSESTO",
        "authorized_official_first_name": "TRACIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-228-3939",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranston, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.