Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kenneth Tetelbaum, PTA

Individual provider Physical Therapy Assistant · NPI 1033286877

Kenneth Tetelbaum, PTA is a Physical Therapy Assistant in Providence, Rhode Island. Practices as a sole proprietor. Licensed in Rhode Island.

Licensed in
RI
In the registry since
2006
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

593 Eddy St
Providence, RI 02903-4923
Phone: (401) 444-8661
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA00356 (RI)

Record details

NPI number1033286877
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedNovember 29, 2006
Last updated in NPPESJuly 8, 2007
Mailing address9 Chestnut St, Narragansett, RI 02882-3903

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