Healthcare Provider Details

I. General information

NPI: 1457432254
Provider Name (Legal Business Name): STEPHEN F NESTOR D.P.T.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/18/2006
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

261 MAIN ST # 101
NORTH SMITHFIELD RI
02896-7919
US

IV. Provider business mailing address

261 MAIN ST # 101
NORTH SMITHFIELD RI
02896-7919
US

V. Phone/Fax

Practice location:
  • Phone: 617-970-7881
  • Fax:
Mailing address:
  • Phone: 617-970-7881
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number10934
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License NumberPT02296
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: