Individual provider Active NPI

Beth Peterson, OT

  • Occupational Therapist
  • Pawtucket, RI
National Provider Identifier
1346252194
Registry record updated Feb 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT00675 Issued in RI
Practice address
588 Pawtucket Ave
Pawtucket, RI 02860-6057
Phone
(401) 722-2400
NPI assigned
Aug 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT00675 RI Primary

Addresses

Primary practice location

588 Pawtucket Ave
Pawtucket, RI 02860-6057

Mailing address

588 Pawtucket Ave
Pawtucket, RI 02860-6057
Phone (401) 722-2400

Other identifiers 1

IdentifierTypeStateIssuer
1780672709OtherGROUP NPI#

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051012001207 RI Practitioner - Occupational Therapist in Private Practice 8527095801 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pappas Physical Therapy LLCGroup PAC ID 2567708233, 80 clinicians

Practice addresses (Care Compare)

1524 Atwood Ave
Suite LL2
Johnston, RI 02919-3228
Phone (401) 383-5299

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6777MAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pappas Physical Therapy LLC CurrentSince Nov 1, 2018 Accepting new patients
Pappas Physical Therapy LLC Occupational Therapist CurrentSince Nov 1, 2018 Accepting new patients
Lepre Physical Therapy Past Accepting new patients
Lepre Physical Therapy of North Providence, LLC Past Accepting new patients

Locations

236 County Rd
Barrington, RI 02806
Phone (401) 245-8855

652 Wood St
Bristol, RI 02809
Phone (401) 253-3710

1100 Reservoir Ave
Cranston, RI 02910
Phone (401) 785-1016

1524 Atwood Ave
Ste LL2
Johnston, RI 02919
Phone (401) 276-9180

1539 Atwood Ave
Ste 202
Johnston, RI 02919
Phone (401) 351-0515

2 Wake Robin Rd
Ste 101
Lincoln, RI 02865
Phone (401) 333-1747

1181 Aquidneck Ave
Middletown, RI 02842
Phone (401) 845-0840

1525 Smith St
Ste 5
North Providence, RI 02911
Phone (401) 353-8884

1812 Main Rd
Tiverton, RI 02878
Phone (401) 625-9855

730 Kingstown Rd
Ste A14
Wakefield, RI 02879
Phone (401) 284-3424

2191 Post Rd
Warwick, RI 02886
Phone (401) 351-0515

20 Cumberland Hill Rd
Unit 101
Woonsocket, RI 02895
Phone (401) 769-1200

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202860800000",
    "number": "1346252194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "588 PAWTUCKET AVE",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028606057",
            "telephone_number": "401-722-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "588 PAWTUCKET AVE",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028606057",
            "telephone_number": "401-722-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "BETH",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2008-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "RI",
            "license": "OT00675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI#",
            "identifier": "1780672709",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawtucket, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.