Stephanie A Roberts, LPTA
Individual provider Active NPI Physical Therapy Assistant · Wakefield, RI
NPI 1235501735 · NPPES record last updated Oct 22, 2015
Key facts
- NPI
- 1235501735
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 000747 (CT)
- Practice address
- 1965 Matunuck School House Rd
Wakefield, RI 02879-6144 - Phone
- (401) 286-8324
- NPI assigned
- Oct 22, 2015
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA00184 | RI | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 000747 | CT | Yes |
| Physical Therapy Assistant | 225200000X | PTA00184 | RI |
Addresses
Primary practice location
1965 Matunuck School House Rd
Wakefield, RI 02879-6144
Mailing address
1965 Matunuck School House Rd
Wakefield, RI 02879-6144
Phone (401) 286-8324
Other providers in Wakefield, RI
- Tina Rizack
- Robert Curhan MD
- Robert Curhan,MD. Inc
- Robert K. Chinn, MD
- Robert S Gilardetti, DMD, MD, Inc
- Melissa Ann Roch
- Macy Roderick
- John W Rodger
- Debra Mary Rodgers
- Allison M Romano
All providers in Wakefield, RI · Physical Therapy Assistant in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 22, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.