Koann Therapeutic Services Inc
NPI 1639843303 · Psychiatric/Mental Health Nurse Practitioner · Providence, RI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Koann Therapeutic Services Inc is a Psychiatric/Mental Health Nurse Practitioner organization in Providence, RI (NPI 1639843303).
Provider details
- NPI number
- 1639843303
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Akos Antwi, Provider/Ceo(401) 648-7172
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Multi-Specialty Clinic/Center261QM1300X
Ambulatory Health Care Facilities
Nursing Service Providers
Ambulatory Health Care Facilities
- Registered Nurse163W00000X
Nursing Service Providers
- Case Management Agency251B00000X
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Revive Therapeutic Services
- Doing business as
- Revive Therapeutic Services
Additional practice locations (2)
- 53 Chester StSomerville, MA 02144-3059Phone: (401) 648-7172Fax: (401) 648-0161
- 1009 Frederick RdCatonsville, MD 21228-5055Phone: (401) 648-7172Fax: (401) 648-0161
Registry dates
- Enumerated
- 2021-08-05
- Last updated
- 2026-01-12
- Certified
- 2026-01-12
Frequently asked questions
- What is Koann Therapeutic Services Inc's NPI number?
- Koann Therapeutic Services Inc's National Provider Identifier (NPI) is 1639843303, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Koann Therapeutic Services Inc?
- Koann Therapeutic Services Inc is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Koann Therapeutic Services Inc located?
- Koann Therapeutic Services Inc's practice location on file with NPPES is 845 N Main St, Providence, RI 02904-5700.
- What is Koann Therapeutic Services Inc's phone number?
- The practice phone number listed in the NPPES registry for Koann Therapeutic Services Inc is (401) 648-7172.
- Does Koann Therapeutic Services Inc accept Medicare?
- Koann Therapeutic Services Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Koann Therapeutic Services Inc?
- The authorized official listed on Koann Therapeutic Services Inc's NPPES record is Akos Antwi, Provider/Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Koann Therapeutic Services Inc's NPI active?
- Yes — Koann Therapeutic Services Inc's NPI (1639843303) is active in the NPPES registry as of the last update on 2026-01-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.