| Elmwood Orthopedic Rehab Center, Inc. | |
|
120 Dudley St Ste 201, Providence, RI 02905-2431 | |
| (401) 941-1347 | |
| (617) 445-7874 |
| Full Name | Elmwood Orthopedic Rehab Center, Inc. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 120 Dudley St Ste 201, Providence, Rhode Island |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265567077 | NPI | - | NPPES |
| E061618 | Medicaid | RI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT01849 (Rhode Island) | Primary |
| Provider Name | Igor Yatskar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104848993 PECOS PAC ID: 3072427228 Enrollment ID: I20040819001211 |
| Provider Name | Jared D Gailes |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1588674394 PECOS PAC ID: 4688730393 Enrollment ID: I20140801000099 |
| Provider Name | Thomas Hobin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376510552 PECOS PAC ID: 3375576911 Enrollment ID: I20170810000099 |
| Mailing Address | Practice Location Address |
|---|---|
| Elmwood Orthopedic Rehab Center, Inc. 193 Elmwood Ave, Providence, RI 02907-1460 Ph: (401) 459-4000 | Elmwood Orthopedic Rehab Center, Inc. 120 Dudley St Ste 201, Providence, RI 02905-2431 Ph: (401) 941-1347 |
Conor D. Bray, P.T., D.P.T Physical Therapist Medicare: Medicare Enrolled Practice Location: 49 Seekonk St, Providence, RI 02906 Phone: 401-726-7100 | |
Nicholas Ford, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 49 Seekonk St, Providence, RI 02906 Phone: 401-726-7100 | |
Mr. Thomas H. Wheeler, MMSC, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 830 Chalkstone Ave, Providence, RI 02908 Phone: 401-273-7100 | |
Mrs. Erin Kelli Dasilva, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 765 Allens Ave, Providence, RI 02905 Phone: 401-444-5020 Fax: 401-444-4181 | |
Angela Marie Lostritto, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 49 Seekonk St, Providence, RI 02906 Phone: 401-230-1126 | |
Alaina Lynn Denoncour, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 285 Promenade St, Providence, RI 02908 Phone: 401-459-4001 Fax: 401-459-4006 | |
Eileen T Tainsh, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 593 Eddy St, George Clinic, Providence, RI 02903 Phone: 401-444-3201 Fax: 401-444-6115 |