Provider Demographics
NPI:1063744043
Name:CBS THERAPY
Entity type:Organization
Organization Name:CBS THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:ERKLAUER
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCP-SLP
Authorized Official - Phone:401-270-9991
Mailing Address - Street 1:626 PARK AVE
Mailing Address - Street 2:SUITE 2A
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02910-2154
Mailing Address - Country:US
Mailing Address - Phone:401-383-9823
Mailing Address - Fax:401-383-5933
Practice Address - Street 1:626 PARK AVE
Practice Address - Street 2:SUITE 2A
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02910-2154
Practice Address - Country:US
Practice Address - Phone:401-383-9823
Practice Address - Fax:401-383-5933
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-02
Last Update Date:2019-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIPT02776225100000X
2251P0200X, 235Z00000X
RIOT01312225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatricsGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI1063744043Medicaid