Healthcare Provider Details

I. General information

NPI: 1538088430
Provider Name (Legal Business Name): COLE SCOTT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

389 PUTNAM PIKE
CHEPACHET RI
02814-2162
US

IV. Provider business mailing address

305 TOURTELLOT HILL RD
CHEPACHET RI
02814-2129
US

V. Phone/Fax

Practice location:
  • Phone: 401-203-5444
  • Fax:
Mailing address:
  • Phone: 401-871-4442
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT02398
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: