Provider Demographics
NPI:1619456597
Name:BARONE, XHEJNI (DPT)
Entity type:Individual
Prefix:
First Name:XHEJNI
Middle Name:
Last Name:BARONE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:XHEJNI
Other - Middle Name:
Other - Last Name:SULA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PTA
Mailing Address - Street 1:927B WARREN AVE
Mailing Address - Street 2:
Mailing Address - City:EAST PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02914-1423
Mailing Address - Country:US
Mailing Address - Phone:401-438-0905
Mailing Address - Fax:401-438-0903
Practice Address - Street 1:927B WARREN AVE
Practice Address - Street 2:
Practice Address - City:EAST PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02914-1423
Practice Address - Country:US
Practice Address - Phone:401-438-0905
Practice Address - Fax:401-438-0903
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-10
Last Update Date:2024-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIPT03836225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY010332OtherLICENSE