Active NPIIndividual providerSole proprietor

Kenneth Tetelbaum, PTA

Physical Therapy Assistant in Providence, Rhode Island

NPI Number1033286877
Practice location
593 Eddy St, Providence, RI 02903-4923
Fax
—
Last updated
July 8, 2007

Kenneth Tetelbaum is a Physical Therapy Assistant based in Providence, RI. Kenneth Tetelbaum practices in Providence, RI and has the professional credentials of PTA. The NPI Number for Kenneth Tetelbaum is 1033286877 and holds a License No. PTA00356 (RI). The current practice location address for Kenneth Tetelbaum is 593 Eddy St, Providence, RI 02903-4923 and can be reached out via phone at 401-444-8661.

Provider Profile Details

NPI Number
1033286877
Provider Name
Kenneth Tetelbaum
Credential
PTA
Provider Entity Type
Individual
Gender
Male
Address
593 Eddy St, Providence, RI 02903-4923
Phone Number
401-444-8661
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
Yes
Provider Enumeration Date
November 29, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
593 Eddy St
Providence, RI 02903-4923
Zip
02903-4923
Phone Number
401-444-8661
Providence, RI 02903Get directions →

Provider Business Mailing Address Details

Address
9 Chestnut St
Narragansett, RI 02882-3903
City
Narragansett
State
RI
Zip
02882-3903
Phone Number
401-789-9184

License Information

License Number
PTA00356
License State
RI
Taxonomy
Physical Therapy Assistant · 225200000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kenneth Tetelbaum, PTA?

The NPI number of Kenneth Tetelbaum, PTA is 1033286877. It was assigned on November 29, 2006 and is currently active in the NPPES registry.

What is the specialty of Kenneth Tetelbaum, PTA?

Kenneth Tetelbaum, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in RI under license number PTA00356.

Where does Kenneth Tetelbaum, PTA practice?

The practice location is 593 Eddy St, Providence, RI 02903-4923. The office can be reached at 401-444-8661 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033286877 directly on the NPPES registry website.

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