Active NPIOrganization

Fbtc Transitional Sub, LLC

Clinic/Center, Developmental Disabilities in Providence, Rhode Island

NPI Number1558240614
Practice location
1 Randall Sq Ste 302&307, Providence, RI 02904-2709
Fax
—
Last updated
September 23, 2026

Fbtc Transitional Sub, LLC is a healthcare organization based in Providence, RI. Fbtc Transitional Sub, LLC practices in Providence, RI. The NPI Number for Fbtc Transitional Sub, LLC is 1558240614. The current practice location address for Fbtc Transitional Sub, LLC is 1 Randall Sq Ste 302&307, Providence, RI 02904-2709 and can be reached out via phone at 401-443-5252.

Provider Profile Details

NPI Number
1558240614
Provider Name
Fbtc Transitional Sub, LLC
Provider Entity Type
Organization
Address
1 Randall Sq Ste 302&307, Providence, RI 02904-2709
Phone Number
401-443-5252
Primary Taxonomy
Clinic/Center, Developmental Disabilities · 261QD1600X
Organization Subpart
No
Authorized Official
Mary Patricia Rodenberg-Roberts · Chief Regulatory Officer Sr Asst Gc · 952-836-2234
Provider Enumeration Date
September 1, 2025
Last Update Date
September 23, 2026
Certification Date
September 23, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Randall Sq Ste 302&307
Providence, RI 02904-2709
Zip
02904-2709
Phone Number
401-443-5252
Providence, RI 02904Get directions →

Provider Business Mailing Address Details

Address
6600 France Ave S Ste 350
Edina, MN 55435-1810
City
Edina
State
MN
Zip
55435-1810
Phone Number
800-388-5150

License Information

Taxonomy (1)
Occupational Therapist · 225X00000X
Taxonomy (2)
Speech-Language Pathologist, · 235Z00000X
Taxonomy (3)
Clinic/Center, Developmental Disabilities · 261QD1600X · Primary
Taxonomy (4)
Clinic/Center, Hearing and Speech · 261QH0700X

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 Fbtc Transitional Sub, LLC?

The NPI number of Fbtc Transitional Sub, LLC is 1558240614. It was assigned on September 1, 2025 and is currently active in the NPPES registry.

What is the specialty of Fbtc Transitional Sub, LLC?

Fbtc Transitional Sub, LLC is registered under the primary taxonomy Clinic/Center, Developmental Disabilities (code 261QD1600X).

Where does Fbtc Transitional Sub, LLC practice?

The practice location is 1 Randall Sq Ste 302&307, Providence, RI 02904-2709. The office can be reached at 401-443-5252 (phone).

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 1558240614 directly on the NPPES registry website.

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