OrganizationActive
Prime Healthcare Services Landmark LLC
NPI 1700207842 · Physical Medicine & Rehabilitation Physician · Woonsocket, RI
Provider details
- NPI number
- 1700207842
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Prime Healthcare Services Landmark LLC
- Organization subpart
- Yes
- Authorized official
- Stacy Viens, Practice Administrator(401) 769-4100
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Clinical Neuropsychologist103G00000X
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
219 Cass Ave
Woonsocket, RI 02895-4736
Phone: (401) 769-4100
Fax: (401) 766-9575
Street-level locationGet directions
Mailing address
219 Cass Ave
Woonsocket, RI 02895-4736
Other names (DBA / former)
- Doing business as
- Nri Rehab Mgmt Associates
Registry dates
- Enumerated
- 2013-12-16
- Last updated
- 2017-01-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.