Individual provider Active NPI

Stephen P. Lepre, P.T.

  • Physical Therapist
  • Cranston, RI
National Provider Identifier
1497898936
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00184 Issued in RI
Practice address
1100 Reservoir Ave
Cranston, RI 02910-5121
Phone
(401) 785-3334
Fax
(401) 785-3336
NPI assigned
Feb 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT00184 RI Primary

Addresses

Primary practice location

1100 Reservoir Ave
Cranston, RI 02910-5121

Mailing address

PO Box 20372
Cranston, RI 02920-0944
Phone (401) 785-1016

Other identifiers 1

IdentifierTypeStateIssuer
PT00184OtherRISTATE LICENSE

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lepre Physical Therapy Past Accepting new patients
Tycam Rehab Inc. Physical Therapist PastSince Jan 1, 2016 Accepting new patients
Lepre Physical Therapy of Narragansett LLC Physical Therapist PastSince Nov 1, 2007 Accepting new patients

Organizations & group practices 3

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": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497898936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20372",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029200944",
            "telephone_number": "401-785-1016",
            "fax_number": "401-785-1018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 RESERVOIR AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029105121",
            "telephone_number": "401-785-3334",
            "fax_number": "401-785-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEPRE",
        "first_name": "STEPHEN",
        "middle_name": "P.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "PT00184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PT00184",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranston, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.