Healthcare Provider Details

I. General information

NPI: 1790994168
Provider Name (Legal Business Name): CELESTE ANN RUGGIERI JONES MS, PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2007
Last Update Date: 03/31/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 W INDEPENDENCE WAY
KINGSTON RI
02881-1124
US

IV. Provider business mailing address

PO BOX 8269
CRANSTON RI
02920-0269
US

V. Phone/Fax

Practice location:
  • Phone: 401-339-4262
  • Fax: 401-462-5386
Mailing address:
  • Phone: 401-339-4262
  • Fax: 401-462-5386

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number11033
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT01119
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: