Stacey Patterson

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

02622 Issued in RI

Practice address

251 Waterman St
Providence, RI 02906-5235

Phone

(401) 453-4263

NPI assigned

Sep 8, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Body Kneads, Inc

  • Rehabilitation Clinic/Center
  • Providence, RI
  • NPI 1659642106
  NPD (past)

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1952915837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 WATERMAN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029065235",
            "telephone_number": "401-453-4263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 WATERMAN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029065235",
            "telephone_number": "401-453-4263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "STACEY",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-08",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "RI",
            "license": "MT02622",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "RI",
            "license": "02622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Patrico
• Eleni Patrozou
• Laura Patterson
• Robert B Patterson, MD
• Sara Patterson, MS RD LDN
• Deja Patton
• Archana James Pattupara, MD
• Paul a Decesare O
• Paul a. Akerman, MD, Inc.
• Paul Cuffee Charter School

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; 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.