Individual provider Active NPI

Rebecca Lee Corrente, DPT

  • Physical Therapist
  • Providence, RI
National Provider Identifier
1447537485
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT02470 Issued in RI
Practice address
668 Eddy St Ste 1
Providence, RI 02903-4942
Phone
(401) 430-7280
Fax
(401) 453-7762
NPI assigned
Nov 4, 2011
Last updated
Mar 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 19131 MA
Physical Therapist 225100000X PT02470 RI Primary

Addresses

Primary practice location

668 Eddy St Ste 1
Providence, RI 02903-4942

Mailing address

668 Eddy St Ste 1
Providence, RI 02903-4942
Phone (401) 430-7280

Other names 1

  • Rebecca Lee Stocker Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19131MAMDPhysical Therapist
PT02470RIMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1320364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1447537485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "668 EDDY ST STE 1",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034942",
            "telephone_number": "401-430-7280",
            "fax_number": "401-453-7762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "668 EDDY ST STE 1",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034942",
            "telephone_number": "401-430-7280",
            "fax_number": "401-453-7762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORRENTE",
        "first_name": "REBECCA",
        "middle_name": "LEE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-04",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "19131",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "PT02470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "STOCKER",
            "middle_name": "LEE",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; 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.