Healthcare Provider Details

I. General information

NPI: 1447304530
Provider Name (Legal Business Name): ALISA ANN WEBBER-GAFFNEY DPT, PT, MSPT, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/23/2007
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1193 RESERVOIR AVE
CRANSTON RI
02920-6008
US

IV. Provider business mailing address

1193 RESERVOIR AVE
CRANSTON RI
02920-6008
US

V. Phone/Fax

Practice location:
  • Phone: 401-228-3939
  • Fax: 401-383-3043
Mailing address:
  • Phone: 401-228-3939
  • Fax: 401-383-3043

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: