SHAKE-A-LEG, INC. (NPI# 1538286679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538286679 |
| Entity Type | Organization |
| Organization Name | SHAKE-A-LEG, INC. |
| Practice Address |
850 Aquidneck Ave Suite 6-a Middletown RI 02842-7244 |
| Practice Telephone | 4018498898 |
| Practice Fax Number | 4018489072 |
| Mailing Telephone | 4018498898 |
| Mailing Fax Number | 4018489072 |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JAMES A CHARNLEY (MANAGING DIRECTOR) |
| Authorized Official Telephone | 4018498898 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320700000X | Residential Treatment Facility, Physical Disabilities | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | SA61623 | 05 |
| Street Address |
850 AQUIDNECK AVE SUITE 6-A |
| City | MIDDLETOWN |
| State | RI |
| Zip Code | 02842-7244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912901869 | Steven Franklin Freedman | Otolaryngology | 850 Aquidneck Ave, Unit B9, Middletown, RI 02842-7244 | 2005-06-09 |
| 1164916904 | Kendra Ryan Pimenta | Physician Assistant | 850 Aquidneck Ave, Middletown, RI 02842-7280 | 2018-06-15 |
| 1275052755 | Coastal Foot & Ankle Inc | Clinic/Center | 850 Aquidneck Ave, Middletown, RI 02842-7280 | 2017-09-15 |
| 1518226687 | Joseph Robert Weisberger IIi | Audiologist | 850 Aquidneck Ave, Unit B-9, Middletown, RI 02842-7280 | 2012-05-10 |
| 1750677514 | Aleah W Kirchner | Physician Assistant | 850 Aquidneck Ave, Middletown, RI 02842-7280 | 2011-06-21 |
| 1588891279 | Newport Acupuncture & Herbal Medicine, Inc. | Acupuncturist | 850 Aquidneck Ave, A3, Middletown, RI 02842-7244 | 2009-06-19 |
| 1033247002 | Tiffany J St Germain | Audiologist | 850 Aquidneck Ave, Unit B9, Middletown, RI 02842-7244 | 2007-03-01 |
| 1114069218 | Coastal Medical, Inc. | Non-Pharmacy Dispensing Site | 850 Aquidneck Ave, Middletown, RI 02842-7244 | 2007-02-13 |
| 1508918053 | Seth Bock | Acupuncturist | 850 Aquidneck Ave, Unit A3, Middletown, RI 02842-7244 | 2007-01-17 |
| 1649322744 | Julianne Stapleton | Acupuncturist | 850 Aquidneck Ave, Suite B2, Middletown, RI 02842-7244 | 2007-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427671478 | Shannon M. Pine | Counselor | E Admiralty Drive, 2, Middletown, RI 02842 | 2020-05-26 |
| 1912425968 | Gail Demarco | Registered Nurse | 127 Johnnycake Hill Road, Middletown, RI 02842 | 2017-08-30 |
| 1790201861 | Logan Christopher Menard | Specialist/Technologist | 4 Orville Drive, Middletown, RI 02842 | 2017-08-20 |
| 1295149714 | Jacquelyn Marez | Occupational Therapy Assistant | 1998 West Main Rd, Middletown, RI 02842 | 2014-06-12 |
| 1144660465 | Brittney Lea Barry | Audiologist | Naval Health Clinic New England 43 Smith Rd., Newport, RI 02842 | 2013-07-01 |
| 1912262445 | Wendy S Drysdale | Student in an Organized Health Care Education/Training Program | 372 Purgatory Road, St. George's School, Middletown, RI 02842 | 2012-07-11 |
| 1912294778 | Laurie B Phenix | Pharmacist | 88 Silva Lane, Tech 4, Suite 110, Middletown, RI 02842 | 2011-06-30 |
| 1023278249 | Ann Marie Efflandt | Speech-Language Pathologist | 333 Green Ave, Middletown, RI 02842 | 2008-06-11 |
| 1669631487 | Tiffany Bourquin | Counselor | 575 E Main Rd Unit 4, Middletown, RI 02842 | 2008-06-06 |
| 1104048396 | Valley Primary Care Inc | Family Medicine | 294 Valley Road, Middletown, RI 02842 | 2007-05-03 |
| Find all providers in zip 02842 | ||||
| Taxonomy Code | 320700000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Physical Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| City | MIDDLETOWN |
| Zip Code | 02842 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.