| Mary Keough, | |
|
445 Saint Paul St, North Smithfield, RI 02896-6865 | |
| (401) 597-5665 | |
| Not Available |
| Full Name | Mary Keough |
|---|---|
| Gender | Female |
| Speciality | Physical Medicine & Rehabilitation - Sports Medicine |
| Location | 445 Saint Paul St, North Smithfield, Rhode Island |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235785239 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | PT03193 (Rhode Island) | Primary |
| Entity Name | Matrix Sports Medicine & Physical Therapy Inc |
|---|---|
| Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Entity Identifiers | NPI Number: 1205894532 PECOS PAC ID: 5395746861 Enrollment ID: O20070125000415 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Keough, 47 Hilltop Ave, Providence, RI 02908-2810 Ph: (401) 316-8344 | Mary Keough, 445 Saint Paul St, North Smithfield, RI 02896-6865 Ph: (401) 597-5665 |
Khin Sein Yin, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 116 Eddie Dowling Highway, Rehabilitation Hospital Of Rhode Island, North Smithfield, RI 02865 Phone: 401-766-0800 Fax: 401-765-5904 | |
Dr. Keith W.l. Rafal, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 116 Eddie Dowling Hwy, North Smithfield, RI 02896 Phone: 401-766-0800 Fax: 401-765-5904 | |
Vanessa Marie Maccarone, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 10 Rhodes Ave, North Smithfield, RI 02896 Phone: 401-767-3500 | |
Dr. Thomas E Mcgunigal, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 116 Eddie Dowling Hwy, North Smithfield, RI 02896 Phone: 401-766-0800 Fax: 401-765-5904 |