Healthcare Provider Details

I. General information

NPI: 1053588806
Provider Name (Legal Business Name): HOPE PHYSICAL THERAPY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2008
Last Update Date: 10/13/2020
Certification Date: 10/13/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 HOPE FURNACE RD
HOPE RI
02831-1447
US

IV. Provider business mailing address

6 HOPE FURNACE RD
HOPE RI
02831-1447
US

V. Phone/Fax

Practice location:
  • Phone: 401-823-4100
  • Fax: 401-823-4111
Mailing address:
  • Phone: 401-823-4100
  • Fax: 401-823-4100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number001097
License Number StateRI

VIII. Authorized Official

Name: GINA L PATRIZIO
Title or Position: PRESIDENT
Credential: MSPT
Phone: 401-823-4100