Healthcare Provider Details

I. General information

NPI: 1104732577
Provider Name (Legal Business Name): STEPPIN STONE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

426 METACOM AVE RM A
WARREN RI
02885-2711
US

IV. Provider business mailing address

426 METACOM AVE RM A
WARREN RI
02885-2711
US

V. Phone/Fax

Practice location:
  • Phone: 401-400-2121
  • Fax: 401-445-0221
Mailing address:
  • Phone: 401-400-2121
  • Fax: 401-445-0221

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MRS. JILL STONE
Title or Position: OWNER/PROVIDER
Credential: MS OTR/L
Phone: 401-400-2121