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RHODE ISLAND SPORTS MEDICINE
NPI 1477065118
General Practice in Kingston, RI

Active since November 03, 2017
3 KEANEY ROAD, SUITE 1, KINGSTON, RI 02881(972) 367-4845 Get Directions Write a Review

NPPES record last updated: November 3, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Rhode Island Sports Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RHODE ISLAND SPORTS MEDICINE (NPI 1477065118) is a healthcare organization registered as a general practice in Kingston, Rhode Island and active in the NPI registry since November 2017. The organization lists Mouzon Bass, Agent, as its authorized official.

NPPES Registry Identity

NPI1477065118
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameTHE UNIVERSITY OF RHODE ISLAND
Location Address3 KEANEY ROAD, SUITE 1Kingston, RI 02881
Mailing Address5050 Spring Valley RdDallas, TX 75244-3995
Phone(972) 367-4845
Organization SubpartNo
Authorized OfficialMouzon BassAgent · (972) 367-4845
Enumeration DateNovember 3, 2017
✔ NPI 1477065118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in RI · DO00893
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

3 KEANEY ROAD, Kingston, RI 02881
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Other Names 1

Doing Business AsRhode Island Sports Medicine

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. GARRETT PAUL DEGROOT A.T.C
Specialist/Technologist (Athletic Trainer)
3 KEANEY ROAD, SUITE ONE
KINGSTON, RI 02881
Washington County (401) 874-9065
MRS. LAUREN HARRALL ATC
Specialist/Technologist (Athletic Trainer)
3 KEANEY ROAD, SUITE ONE
KINGSTON, RI 02881
Washington County (401) 874-2051
ANDREW THOMAS CUMMINGS MS, ATC
Specialist/Technologist (Athletic Trainer)
3 KEANEY ROAD, SUITE ONE
KINGSTON, RI 02881
Washington County (401) 874-4804

Frequently Asked Questions

What is THE UNIVERSITY OF RHODE ISLAND's NPI number?

The NPI number assigned to this healthcare provider is 1477065118, enumerated as an "organization" on November 03, 2017.

Where is the provider located?

The provider is located at 3 KEANEY ROAD SUITE 1 KINGSTON, RI 02881 and the phone number is (972) 367-4845.

What is the provider's specialty?

General Practice with taxonomy code 208D00000X.