Active NPIIndividual provider

Mark A Rotella, PT

Physical Therapist in East Providence, Rhode Island

NPI Number1104870773
Practice location
1001 Waterman Ave, East Providence, RI 02914-1314
Fax
401-435-0500
Last updated
July 21, 2011

Mark A Rotella is a Physical Therapist based in East Providence, RI. Mark A Rotella practices in East Providence, RI and has the professional credentials of PT. The NPI Number for Mark A Rotella is 1104870773 and holds a License No. 02006 (RI). The current practice location address for Mark A Rotella is 1001 Waterman Ave, East Providence, RI 02914-1314 and can be reached out via phone at 401-434-1773 and via fax at 401-435-0500.

Provider Profile Details

NPI Number
1104870773
Provider Name
Mark A Rotella
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
1001 Waterman Ave, East Providence, RI 02914-1314
Phone Number
401-434-1773
Fax Number
401-435-0500
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
May 19, 2006
Last Update Date
July 21, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
1001 Waterman Ave
East Providence, RI 02914-1314
Zip
02914-1314
Phone Number
401-434-1773
Fax Number
401-435-0500
East Providence, RI 02914Get directions →

Provider Business Mailing Address Details

Address
105 Newtown RD # A
Suite 5
Danbury, CT 06810-4194
City
Danbury
State
CT
Zip
06810-4194
Phone Number
203-739-0765
Fax Number
203-739-0792

License Information

License Number (1)
02006
License State (1)
RI
Taxonomy (1)
Physical Therapist · 225100000X · Primary
License Number (2)
007027
License State (2)
CT
Taxonomy (2)
Physical Therapist · 225100000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mark A Rotella, PT?

The NPI number of Mark A Rotella, PT is 1104870773. It was assigned on May 19, 2006 and is currently active in the NPPES registry.

What is the specialty of Mark A Rotella, PT?

Mark A Rotella, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in RI under license number 02006.

Where does Mark A Rotella, PT practice?

The practice location is 1001 Waterman Ave, East Providence, RI 02914-1314. The office can be reached at 401-434-1773 (phone) or 401-435-0500 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104870773 directly on the NPPES registry website.

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