Organization Active NPI

Garden City Rehabilitation Center, LLC

  • Physical Therapy Clinic/Center
  • Cranston, RI
National Provider Identifier
1821312646
Registry record updated Mar 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
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, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
GARDEN CITY TREATMENT CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 20, 2015

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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20110322000340 RI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8729261268 Receives reassigned benefits from 3 practitioners
Practice locations: Cranston, RI

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.

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.

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

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.

Verify at the official NPI Registry.