Active NPI
Beth Peterson, OT
- Occupational Therapist
- Pawtucket, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT00675
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780672709 | Other | GROUP NPI# |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6777 | MA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pappas Physical Therapy LLC | Current | Accepting new patients | |
| Pappas Physical Therapy LLC | Occupational Therapist | Current | 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.
-
- Physical Therapy Clinic/Center
- Johnston, RI
- NPI 1851862692
Occupational Therapist
-
- Durable Medical Equipment & Medical Supplies
- North Kingstown, RI
- NPI 1174246672
-
- Preferred Provider Organization
- North Providence, RI
- NPI 1790227932
-
- Physical Therapist
- North Providence, RI
- NPI 1588617609
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.