Basic Information
| Provider Information | |||||||||
| NPI: | 1417080524 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CIARNIELLO | ||||||||
| FirstName: | DINO | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | PT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1524 ATWOOD AVE | ||||||||
| Address2: | SUITE 140 | ||||||||
| City: | JOHNSTON | ||||||||
| State: | RI | ||||||||
| PostalCode: | 029193228 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4016333020 | ||||||||
| FaxNumber: | 4013516201 | ||||||||
| Practice Location | |||||||||
| Address1: | 1524 ATWOOD AVE | ||||||||
| Address2: | SUITE 140 | ||||||||
| City: | JOHNSTON | ||||||||
| State: | RI | ||||||||
| PostalCode: | 029193228 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4016333020 | ||||||||
| FaxNumber: | 4013516201 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/14/2007 | ||||||||
| LastUpdateDate: | 02/24/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | PT01324 | RI | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
ID Information
| ID | Type | State | Issuer | Description | 409448 | 01 | RI | BLUECHIP | OTHER | 2216862 | 01 | RI | UNITEDHEALTHCARE | OTHER | 2273481 | 01 | RI | FIRSTHEALTH | OTHER | 1458872 | 01 | RI | AETNA | OTHER | 31948-5 | 01 | RI | BLUE CROSSBLUE CROSS RI | OTHER | 9465323 | 01 | RI | PHCS | OTHER |