OrganizationActive
Ava Health LLC
NPI 1093666711 · Physical Medicine & Rehabilitation Physician · Johnston, RI
Provider details
- NPI number
- 1093666711
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Brian Mikolasko, Chief Executive Officer(626) 319-5932
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Practice location
2109 Hartford Ave
Johnston, RI 02919-3246
Phone: (401) 587-1000
Approximate (ZIP-level) locationGet directions
Mailing address
73 Sowams Rd
Barrington, RI 02806-4602
Registry dates
- Enumerated
- 2026-02-07
- Last updated
- 2026-02-15
- Certified
- 2026-02-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.