Healthcare Provider Details

I. General information

NPI: 1588501456
Provider Name (Legal Business Name): CAITLIN WHITE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 CENTERVILLE RD
WARWICK RI
02886-4347
US

IV. Provider business mailing address

58 FORT ST
EAST PROVIDENCE RI
02914-5223
US

V. Phone/Fax

Practice location:
  • Phone: 401-732-5100
  • Fax:
Mailing address:
  • Phone: 201-753-1062
  • Fax: 201-753-1062

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT02438
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: