Active NPIIndividual provider

Mr. Stephen M Medeiros, PTA

Physical Therapy Assistant in Warren, Rhode Island

NPI Number1376747659
Practice location
642 Metacom Ave, Warren, RI 02885-2350
Fax
401-245-0959
Last updated
July 8, 2007

Stephen Michael Medeiros is a Physical Therapy Assistant based in Warren, RI. Stephen Michael Medeiros practices in Warren, RI and has the professional credentials of PTA. The NPI Number for Stephen Michael Medeiros is 1376747659 and holds a License No. pta00398 (RI). The current practice location address for Stephen Michael Medeiros is 642 Metacom Ave, Warren, RI 02885-2350 and can be reached out via phone at 401-245-2860 and via fax at 401-245-0959.

Provider Profile Details

NPI Number
1376747659
Provider Name
Stephen Michael Medeiros
Credential
PTA
Provider Entity Type
Individual
Gender
Male
Address
642 Metacom Ave, Warren, RI 02885-2350
Phone Number
401-245-2860
Fax Number
401-245-0959
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
No
Provider Enumeration Date
June 12, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
642 Metacom Ave
Warren, RI 02885-2350
City
Warren
Zip
02885-2350
Phone Number
401-245-2860
Fax Number
401-245-0959
Warren, RI 02885Get directions →

Provider Business Mailing Address Details

Address
6 Jenny Ln
Bristol, RI 02809-4138
City
Bristol
State
RI
Zip
02809-4138

License Information

License Number
pta00398
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 Mr. Stephen M Medeiros, PTA?

The NPI number of Mr. Stephen M Medeiros, PTA is 1376747659. It was assigned on June 12, 2007 and is currently active in the NPPES registry.

What is the specialty of Mr. Stephen M Medeiros, PTA?

Mr. Stephen M Medeiros, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in RI under license number pta00398.

Where does Mr. Stephen M Medeiros, PTA practice?

The practice location is 642 Metacom Ave, Warren, RI 02885-2350. The office can be reached at 401-245-2860 (phone) or 401-245-0959 (fax).

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 1376747659 directly on the NPPES registry website.

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