Jenna Petitt, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT02937 Issued in RI

Practice address

285 Governor St Ste 101
Providence, RI 02906-3237

Phone

(401) 276-0800

Fax

(401) 276-0808

NPI assigned

Jun 9, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jenna Fitzsimmons Former name

Medicare fee-for-service enrollment

Enrolled in RI, MA2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elite Physical Therapy LLCGroup PAC ID 1951295187, 73 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Elite Physical Therapy, LLC

  • Physical Therapist
  • Warwick, RI
  • NPI 1225123565

  MA

  Medicare reassignment Care Compare group NPD
• Orthopedics Rhode Island, Inc

  • Orthopaedic Surgery Physician
  • Warwick, RI
  • NPI 1407231293

  Physical Therapist

  Medicare reassignment NPD
• Performance Rehabilitation of Western New England LLC

  • Physical Therapist
  • West Springfield, MA
  • NPI 1710919063
  Medicare reassignment NPD
• Proex Physical Therapy, LLC

  • Physical Therapist
  • Woburn, MA
  • NPI 1831190453
  Medicare reassignment NPD
• Orthopedics Rhode Island, Inc

  • Durable Medical Equipment & Medical Supplies
  • Johnston, RI
  • NPI 1114740230
  NPD
• Orthopedics Rhode Island, Inc

  • Orthopaedic Surgery Physician
  • Warwick, RI
  • NPI 1871049429
  NPD
• Performance Rehabilitation of Western New England LLC

  • Durable Medical Equipment & Medical Supplies
  • Wilbraham, MA
  • NPI 1376140566

  Physical Therapist

  NPD
• Proex Physical Therapy, LLC

  • Occupational Therapist
  • Boston, MA
  • NPI 1508757956
  NPD

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

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1558710558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 411179",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022415002",
            "telephone_number": "914-294-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 GOVERNOR ST STE 101",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029063237",
            "telephone_number": "401-276-0800",
            "fax_number": "401-276-0808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 Main St",
            "address_purpose": "LOCATION",
            "city": "Medway",
            "state": "MA",
            "postal_code": "020531801",
            "country_code": "US",
            "telephone_number": "508-286-7028",
            "fax_number": "508-562-4557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETITT",
        "first_name": "JENNA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-09",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "22929",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "PT02937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "FITZSIMMONS",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ruth Claire Peterle-Dzurec, CNM
• Bridget Peterson, OD
• Emily Ann Peterson, PA
• Lisa A Peterson, LMHC LCDP LCDCS MAC
• Lois Peterson, REGISTERED DIETITIAN
• Jessica Petrangelo
• Kirsten Ann Petrarca, AUD
• Ariana Marie Petrella, CNM
• Diane Marie Petrella, MSW
• Patricia Ann Petrillo, RD,LDN

• Physical Therapist in Providence, RI
• Providers in Providence, RI by specialty
• Physical Therapist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; 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.