Provider Demographics
NPI:1215176011
Name:BENEFIT REHABILITATION, LLC
Entity type:Organization
Organization Name:BENEFIT REHABILITATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EILEEN
Authorized Official - Middle Name:J
Authorized Official - Last Name:BIALEK
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:401-556-7761
Mailing Address - Street 1:140 POINT JUDITH RD
Mailing Address - Street 2:#30
Mailing Address - City:NARRAGANSETT
Mailing Address - State:RI
Mailing Address - Zip Code:02882-3451
Mailing Address - Country:US
Mailing Address - Phone:401-556-7761
Mailing Address - Fax:401-782-0272
Practice Address - Street 1:140 POINT JUDITH RD
Practice Address - Street 2:#30
Practice Address - City:NARRAGANSETT
Practice Address - State:RI
Practice Address - Zip Code:02882-3451
Practice Address - Country:US
Practice Address - Phone:401-556-7761
Practice Address - Fax:401-782-0272
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-18
Last Update Date:2009-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIPT01628225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty