Steve's Shoe Service & Pedorthic Center

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

STEVE'S SHOE SERVICE & PEDORTHIC CENTER

Practice address

135 Frenchtown Road
Suite 4
North Kingstown, RI 02852-1783

Phone

(401) 885-5004

Fax

(401) 885-8283

NPI assigned

Apr 1, 2008

Last updated

Aug 20, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Steven Alan Petrarca, OST C PEDNPI 1104037118

Title

Owner

Phone

(401) 885-5004

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Steven Alan Petrarca, OST CPED

  • Orthotist
  • North Kingstown, RI
  • NPI 1104037118
  NPD (past) Authorized official

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219190400000",
    "number": "1396917159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 FRENCHTOWN ROAD",
            "address_2": "SUITE 4",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028521783",
            "telephone_number": "401-885-5004",
            "fax_number": "401-885-8283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 FRENCHTOWN ROAD",
            "address_2": "SUITE 4",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028521783",
            "telephone_number": "401-885-5004",
            "fax_number": "401-885-8283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVE'S SHOE SERVICE & PEDORTHIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-01",
        "last_updated": "2008-08-20",
        "status": "A",
        "authorized_official_last_name": "PETRARCA",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-885-5004",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OST C PED"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "29672",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "408288",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon Spencer
• Francis C Spicola, MA, LCDP
• Kerri Spier, M.A., LCDP,
• Sstar of Rhode Island, Inc.
• Laura R. Starr, LICSW
• Kristen C Stone, PH.D.
• Debra Strauss-Levine, LICSW
• Justine Stroble, RN
• Lora Struzik, PTA
• Sue Kelly Dermatology, LLC

• Prosthetic/Orthotic Supplier in North Kingstown, RI
• Providers in North Kingstown, RI by specialty
• Prosthetic/Orthotic Supplier in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.