MR. STEVEN ALAN PETRARCA (NPI# 1104037118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104037118 |
| Entity Type | Individual |
| Full Name | MR. STEVEN ALAN PETRARCA |
| Credential | OST CPED |
| Practice Address |
135 Frenchtown Road Suite 4 North Kingstown RI 02852-1783 |
| Practice Telephone | 4018855004 |
| Practice Fax Number | 4018858283 |
| Mailing Telephone | 4018855004 |
| Mailing Fax Number | 4018858283 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Z00000X | Orthotist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CROSS | 29672 | 01 | |
| BLUE CHIP | 408288 | 01 |
| Street Address |
135 FRENCHTOWN ROAD SUITE 4 |
| City | NORTH KINGSTOWN |
| State | RI |
| Zip Code | 02852-1783 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396917159 | Steve's Shoe Service & Pedorthic Center | Prosthetic/Orthotic Supplier | 135 Frenchtown Road, Suite 4, North Kingstown, RI 02852-1783 | 2008-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063037059 | Rhode Island Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4255 Quaker Lane, North Kingstown, RI 02852 | 2020-06-15 |
| 1588216543 | Stop Look & Listen LLC | Counselor | 917 Ten Rod Rd, 917 Ten Rod Rd., North Kingstown, RI 02852 | 2019-07-10 |
| 1841856358 | Carlos Albert Saraiva | Pharmacist | 113 Frenchtown Road, North Kingstown, RI 02852 | 2019-05-10 |
| 1184143851 | Jessica Topitzer | Nurse Practitioner | 426f Scrabbletown Rd., N. Kingstown, RI 02852 | 2017-09-14 |
| 1275074940 | Amanda Kathryn Lennon | Social Worker | 2 Ripple Lane, North Kingstown, RI 02852 | 2017-03-15 |
| 1164975728 | Charlotte Elizabeth Bigg | Dentist | 145 Phillips St, North Kingstown, RI 02852 | 2016-08-01 |
| 1043603913 | Pamela Morelli | Social Worker | 426 Scrabbletown Rd., North Kingstown, RI 02852 | 2015-03-16 |
| 1942691845 | Catherine Cooney | Counselor | 1130 Ten Rod Rd, Ste E305, North Kingstown, RI 02852 | 2015-02-12 |
| 1154753168 | Kenneth N Beaupre | Counselor | 23 Brown St Ste 107, North Kingstown, RI 02852 | 2013-07-31 |
| 1154613909 | Kimberly Micucci | Counselor | 1950 Tower Hill Road, Acute Stabilization Unit, North Kingstown, RI 02852 | 2011-05-12 |
| Find all providers in zip 02852 | ||||
| Taxonomy Code | 222Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotist |
| A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467586008 | Matthew Warren Carlow | Orthotist | 1580 Pontiac Ave, Cranston, RI 02920-4406 | 2007-03-15 |
| 1114429859 | Kerri L Lapierre | Orthotist | 1559 Elmwood Ave, Cranston, RI 02910-3845 | 2018-03-07 |
| 1396275095 | David Booth | Orthotist | 300 Centerville Rd, Warwick, RI 02886-0200 | 2017-06-14 |
| 1174657795 | Warren Alfred Carlow Jr. | Orthotist | 1580 Pontiac Ave, Cranston, RI 02920-4406 | 2007-03-15 |
| 1376677906 | Linda Helen Carlow | Orthotist | 1580 Pontiac Ave, Cranston, RI 02920-4406 | 2007-03-15 |
| City | NORTH KINGSTOWN |
| Zip Code | 02852 |
Please comment or provide details below to improve the information on MR. STEVEN ALAN PETRARCA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.