| Jessica Patalano, DPT | |
|
927b Warren Ave, East Providence, RI 02914-1423 | |
| (401) 438-0905 | |
| (401) 438-0903 |
| Full Name | Jessica Patalano |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 927b Warren Ave, East Providence, Rhode Island |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669085676 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT03289 (Rhode Island) | Primary |
| Provider Name | Sports & Wellness Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1760762777 PECOS PAC ID: 9830361245 Enrollment ID: O20111007000037 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Patalano, DPT 927b Warren Ave, East Providence, RI 02914-1423 Ph: (401) 438-0905 | Jessica Patalano, DPT 927b Warren Ave, East Providence, RI 02914-1423 Ph: (401) 438-0905 |
Nicole Fontes, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 375 Wampanoag Trail, Suite 403, East Providence, RI 02915 Phone: 401-270-8770 Fax: 401-270-8772 | |
Nicole E Lewis, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 927b Warren Ave, East Providence, RI 02914 Phone: 401-438-0905 Fax: 401-438-0903 | |
Troy Sawyer, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 927b Warren Ave, East Providence, RI 02914 Phone: 401-438-0905 Fax: 401-438-0903 | |
Jaclyn R Plante, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1 Kettle Point Ave, East Providence, RI 02914 Phone: 401-277-0790 | |
Shanan T Brissette, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 927 Warren Ave, East Providence, RI 02914 Phone: 401-438-0905 Fax: 401-383-7946 | |
Mark A Rotella, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1001 Waterman Ave, East Providence, RI 02914 Phone: 401-434-1773 Fax: 401-435-0500 | |
Shelby Pezzullo, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Kettle Point Ave, East Providence, RI 02914 Phone: 401-457-1500 |