Provider Demographics
NPI:1538242847
Name:MORGENSTEIN, STEPHEN S (DPT)
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:S
Last Name:MORGENSTEIN
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1255 OAKLAWN AVENUE
Mailing Address - Street 2:UNIT 11
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02920-2636
Mailing Address - Country:US
Mailing Address - Phone:401-463-9240
Mailing Address - Fax:401-463-5808
Practice Address - Street 1:1255 OAKLAWN AVENUE
Practice Address - Street 2:UNIT 11
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02920-2636
Practice Address - Country:US
Practice Address - Phone:401-463-9240
Practice Address - Fax:401-463-5808
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-23
Last Update Date:2019-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8724225100000X
RIPT267225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI26470-9OtherBLUE CROSS OF RI
RI401037OtherBLUECHIP OF RI
RI26470-9OtherBLUE CROSS OF RI