OrganizationActive
Veteran Medical Specialists
NPI 1841074580 · Pain Medicine (Physical Medicine & Rehabilitation) Physician · Pawtucket, RI
Provider details
- NPI number
- 1841074580
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Derryl Nowak, Coo(585) 472-3018
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Massage Therapist225700000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Home Health Agency251E00000X
Agencies
- Clinic/Center261Q00000X
Ambulatory Health Care Facilities
- Health Service Clinic/Center261QH0100X
Ambulatory Health Care Facilities
- Multi-Specialty Clinic/Center261QM1300X
Ambulatory Health Care Facilities
- Physical Therapy Clinic/Center261QP2000X
Practice location
139 Benefit St
Pawtucket, RI 02861-1024
Phone: (401) 206-0715
Fax: (401) 204-1123
Approximate (ZIP-level) locationGet directions
Mailing address
8204 Lisa Ln
Smyrna, TN 37167-3364
Other names (DBA / former)
- Doing business as
- Vms
Additional practice locations (1)
- 320 Phillips St Ste 101North Kingstown, RI 02852-5149Phone: (401) 206-0715
Registry dates
- Enumerated
- 2023-08-23
- Last updated
- 2023-08-23
- Certified
- 2023-08-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.