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MR. PETER J. STACK MSPT
NPI 1528318631
Physical Therapist - Pediatrics in Providence, RI

Active since September 17, 2012
134 THURBERS AVE, PROVIDENCE, RI 02905(401) 331-1350(401) 277-3366 Get Directions Write a Review

NPPES record last updated: September 11, 2013. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mr. Peter J. Stack Mspt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. PETER J. STACK MSPT (NPI 1528318631) is an individual pediatrics provider in Providence, Rhode Island, licensed in Rhode Island (PT00331) and active in the NPI registry since September 2012.

NPPES Registry Identity

NPI1528318631
Entity TypeIndividualMale
Primary Taxonomy2251P0200X
Provider Legal NameMR. PETER J. STACKCredential: MSPT
Location Address134 THURBERS AVEProvidence, RI 02905-4754
Mailing AddressPo Box 6688Providence, RI 02940-6688 · (401) 331-1350 · Fax (401) 277-3366
Phone(401) 331-1350
Fax(401) 277-3366
Sole ProprietorNo
Enumeration DateSeptember 17, 2012
Last NPPES UpdateSeptember 11, 2013
✔ NPI 1528318631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
License✔ Licensed in RI · PT00331
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
134 THURBERS AVE, Providence, RI 02905
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMY MODRACEK RD
Dietitian, Registered
134 THURBERS AVE, FAMILY SERVICE OF RHODE ISLAND
PROVIDENCE, RI 02905
Providence County (401) 331-1350
MRS. ANDREIA FERREIRA
Speech-Language Pathologist
134 THURBERS AVE, 220A
PROVIDENCE, RI 02905
Providence County (401) 270-8246
DIANE M SHEMTOV LICSW
Social Worker (Clinical)
134 THURBERS AVE, FAMILY SERVICE OF RHODE ISLAND
PROVIDENCE, RI 02905
Providence County (401) 331-1350
NANCY CONCA RN
Registered Nurse
134 THURBERS AVE, FAMILY SERVICE OF RHODE ISLAND
PROVIDENCE, RI 02905
Providence County (401) 331-1350
FAMILY SERVICE OF RHODE ISLAND INC.
Residential Treatment Facility, Emotionally Disturbed Children
134 THURBERS AVE
PROVIDENCE, RI 02905
Providence County (401) 331-1350
MS. PATRICIA L. DEROBBIO-SAMMARTINO MSW,LICSW
Social Worker (Clinical)
134 THURBERS AVE
PROVIDENCE, RI 02905
Providence County (401) 331-1350
MS. REBECCA LYNNE COLLINS OTR/L
Occupational Therapist
134 THURBERS AVE, C/O FAMILY SERVICE OF RI
PROVIDENCE, RI 02905
Providence County (401) 331-1350
XIOMARA DELSOCCORRO RIVERA PTA
Specialist
134 THURBERS AVE, #220A
PROVIDENCE, RI 02905
Providence County (401) 270-9991

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peter Stack's NPI number?

The NPI number for Peter Stack is 1528318631. It was assigned to this individual provider in the NPPES registry on September 17, 2012.

Where is Peter Stack located?

Peter Stack practices at 134 Thurbers Ave, Providence, RI 02905. The listed phone number is (401) 331-1350.

What is Peter Stack's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

When was this NPI record last updated?

The NPPES record for Peter Stack was last updated on September 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.