MEDICARE: SMALL STEPS THERAPY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	225400000X	Rehabilitation Practitioner
2	225X00000X	Occupational Therapist
3	235Z00000X	Speech-Language Pathologist
4	174400000X	Specialist

General Provider Information

NPI Number	:	1255846176
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SMALL STEPS THERAPY LLC

Provider Business Mailing Address
First Line	:	6 KING PHILIP PATH
Second Line	:
City	:	MENDON
State	:	MA
Zip	:	01756-1361
Country	:	US
Telephone Number	:	401-793-1829
Fax Number	:	401-633-7163

Provider Business Practice Location Address
First Line	:	1 RANDALL SQ STE 302
Second Line	:
City	:	PROVIDENCE
State	:	RI
Zip	:	02904-2773
Country	:	US
Telephone Number	:	401-793-1829
Fax Number	:	401-633-7163

Authorized Official
Title or Position	:	OWNER
Name	:	RACHEL BEST
Credential	:
Telephone Number	:	401-793-1829

Provider Enumeration Date	:	12/14/2017
Last Update Date	:	10/22/2019

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Directions to “SMALL STEPS THERAPY LLC ” Practice Location

Language	Start Address	Practice Location

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