LIFESPAN CORPORATION (NPI# 1790221232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790221232 |
| Entity Type | Organization |
| Organization Name | LIFESPAN CORPORATION |
| Practice Address |
765 Allens Ave Providence RI 02905-5443 |
| Practice Telephone | 4014326800 |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2017-01-09 |
| Authorized Official Name | CAITLYN MERCER (OTR/L) |
| Authorized Official Telephone | 4014326800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283XC2000X |
Rehabilitation Hospital Specialization: Children |
OT01595 | RI | Hospitals |
| Street Address |
765 ALLENS AVE |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02905-5443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275595993 | Marcy Atkins | Psychologist | 765 Allens Ave, Providence, RI 02905-5443 | 2006-04-06 |
| 1851905426 | Andrew Visconti | Nurse Practitioner | 765 Allens Ave, Providence, RI 02905-5443 | 2020-09-01 |
| 1003452913 | Beverly Casinelli | Nurse Practitioner | 765 Allens Ave, Providence, RI 02905-5443 | 2019-11-26 |
| 1184287393 | Miranda Davis | Occupational Therapist | 765 Allens Ave, Providence, RI 02905-5443 | 2019-04-15 |
| 1114490737 | Amanda Sherman | Physical Therapist | 765 Allens Ave, Providence, RI 02905-5443 | 2019-01-07 |
| 1659854438 | Kellie Fokin | Physical Therapist | 765 Allens Ave, Providence, RI 02905-5443 | 2018-09-08 |
| 1396258919 | Jenna Mojkowski | Physical Therapist | 765 Allens Ave, Providence, RI 02905-5443 | 2017-11-06 |
| 1669992236 | Paula Kleniewski | Physical Therapist | 765 Allens Ave, Providence, RI 02905-5443 | 2017-06-23 |
| 1306375498 | Julianne Marie Tocchio | Physical Therapist | 765 Allens Ave, Providence, RI 02905-5443 | 2017-06-12 |
| 1639545403 | Leah Raitt | Physical Therapist | 765 Allens Ave, Suite 102, Providence, RI 02905-5443 | 2015-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477100808 | Raisa Emilia Garcia-diaz | Counselor | 66 Pavilion Avenue, Providence, RI 02905 | 2019-08-21 |
| 1962976571 | Nike A. Kendall | Social Worker | Program In Women's Oncology, 101 Dudley Street, Providence, RI 02905 | 2019-01-16 |
| 1891265443 | Carolyn Te Young | Pathology | 1320 Narragansett Blvd, Cranston, RI 02905 | 2018-11-27 |
| 1417427071 | Julianne Elizabeth Houtchens | Dietitian, Registered | Adult Primary Care 245 Chapman Street, Providence, RI 02905 | 2018-11-27 |
| 1922577394 | Dilenia C Cruz | Health Educator | 335r Prairie Ave., Suite 2b, Providence, RI 02905 | 2018-11-15 |
| 1639653116 | Varina S. Gunn | Health Educator | 335r Prarie Ave., Suite 2b, Providence, RI 02905 | 2018-09-20 |
| 1427590421 | Cardea Healthcare LLC | In Home Supportive Care | 100 Pavilion Avenue, Suite 101, Providence, RI 02905 | 2016-11-08 |
| 1265884597 | Maxwell King | Physical Therapy Assistant | 48 Moorland Avenue, Cranston, RI 02905 | 2016-07-11 |
| 1346698024 | Samantha Lea Colli | Physician Assistant | 100 Dudley St Fl 3, Providence, RI 02905 | 2016-06-02 |
| 1346697448 | Amy Jean Simpson | Marriage & Family Therapist | 1981 Broad Street, Cranston, RI 02905 | 2016-05-18 |
| Find all providers in zip 02905 | ||||
| Taxonomy Code | 283XC2000X |
| Grouping | Hospitals |
| Classification | Rehabilitation Hospital |
| Specialization | Children |
| Definition to come... |
| City | PROVIDENCE |
| Zip Code | 02905 |
Please comment or provide details below to improve the information on LIFESPAN CORPORATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.