Active NPI
Garden City Rehabilitation Center, LLC
- Physical Therapy Clinic/Center
- Cranston, RI
National Provider Identifier
1821312646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- GARDEN CITY REHABILITATION CENTER, LLC
- Practice address
- 1150 Reservoir Ave
Suite 103
Cranston, RI 02920-6068 - Phone
- (401) 946-2400
- Fax
- (401) 946-5862
- NPI assigned
- Mar 23, 2010
- Last updated
- Mar 20, 2015
- Organization subpart
- Yes
- Parent organization
- GARDEN CITY TREATMENT CENTER, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Tara Lynn Cavanagh, MBA
- Title
- Vice President
- Phone
- (401) 946-2400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
1150 Reservoir Ave
Suite 103
Cranston, RI 02920-6068
Mailing address
1150 Reservoir Ave
Suite 103
Cranston, RI 02920-6068
Phone (401) 946-2400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
Enrollment records 1
National Provider Directory
National Provider Directory- Part of
- Garden City Treatment Center Inc
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Cranston, RI
- NPI 1306954425
Member Of
Locations
1150 Reservoir Ave
Ste 103
Cranston, RI 02920
Phone (401) 942-2625
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Physical Therapist
- West Warwick, RI
- NPI 1861664807
-
- Physical Therapist
- Cranston, RI
- NPI 1316915234
-
- Orthopedic Physical Therapist
- Warwick, RI
- NPI 1851493290
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269302400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1426809600000",
"number": "1821312646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 RESERVOIR AVE",
"address_2": "SUITE 103",
"city": "CRANSTON",
"state": "RI",
"postal_code": "029206068",
"telephone_number": "401-946-2400",
"fax_number": "401-946-5862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 RESERVOIR AVE",
"address_2": "SUITE 103",
"city": "CRANSTON",
"state": "RI",
"postal_code": "029206068",
"telephone_number": "401-946-2400",
"fax_number": "401-946-5862"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GARDEN CITY REHABILITATION CENTER, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "GARDEN CITY TREATMENT CENTER, INC.",
"enumeration_date": "2010-03-23",
"last_updated": "2015-03-20",
"status": "A",
"authorized_official_last_name": "CAVANAGH",
"authorized_official_first_name": "TARA",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "401-946-2400",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MBA"
},
"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
- Kilvia Garcia
- Yanil Garcia, MSW,LCSW
- Garden City Eyecare, Inc
- Garden City Neurology, LTD (R.I. Neurodiagnostics & Rehabilitation)
- Garden City Psychiatry LLC
- Garden City Treatment Center, Inc
- Garden City Treatment Center, Inc.
- Angela Marie Garganese, M.A.,LMHC
- Ashley Gargano, BACHELORS
- Garnache Dental LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.