Individual provider · Type 1 NPI

Stephen Michael Medeiros, PTA

Physical Therapy Assistant · Warren, RI

NPI number 1376747659 Active

Practice location

642 Metacom Ave
Warren, RI 02885-2350

Fax (401) 245-0959

Mailing address

6 Jenny Ln
Bristol, RI 02809-4138

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA00398 (RI)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1376747659

Stephen Michael Medeiros, PTA's National Provider Identifier is 1376747659, issued on Jun 12, 2007. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Warren, RI. The record was last updated on Jul 8, 2007.