Active NPI
Kaitlyn Rae Terrio, DO
- Internal Medicine Physician
- Pawtucket, RI
National Provider Identifier
1639874548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- DO01603
- Practice address
- 111 Brewster St
Pawtucket, RI 02860-4400 - Phone
- (401) 729-2500
- Fax
- (401) 729-3279
- NPI assigned
- Mar 31, 2023
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | DO01603 | RI | Primary |
Addresses
Primary practice location
111 Brewster St
Pawtucket, RI 02860-4400
Mailing address
455 Toll Gate Rd
PRC and Credentialing
Warwick, RI 02886-2759
Phone (401) 273-0641
Other practice location 1
455 Toll Gate Rd
Warwick, RI 02886-2759
Phone (401) 737-7010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230720002311 | RI | Order and Referring Only - Internal Medicine | 4486014537 |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
455 Toll Gate Rd
Warwick, RI 02886-2759
455 Toll Gate Rd
Warwick, RI 02886-2770
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782259200000",
"number": "1639874548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 TOLL GATE RD",
"address_2": "PRC AND CREDENTIALING",
"city": "WARWICK",
"state": "RI",
"postal_code": "028862759",
"telephone_number": "401-273-0641",
"fax_number": "401-273-2919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 BREWSTER ST",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028604400",
"telephone_number": "401-729-2500",
"fax_number": "401-729-3279"
}
],
"practiceLocations": [
{
"address_1": "455 Toll Gate Rd",
"address_purpose": "LOCATION",
"city": "Warwick",
"state": "RI",
"postal_code": "028862759",
"country_code": "US",
"telephone_number": "401-737-7010",
"fax_number": "401-736-4546",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TERRIO",
"first_name": "KAITLYN",
"middle_name": "RAE",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-31",
"last_updated": "2026-06-24",
"certification_date": "2026-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "RI",
"license": "DO01603",
"primary": true
}
],
"identifiers": [],
"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 Jun 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.