Provider Demographics
NPI:1851437040
Name:ROTHSCHILD, BRETTE (MSPT)
Entity type:Individual
Prefix:MRS
First Name:BRETTE
Middle Name:
Last Name:ROTHSCHILD
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:MISS
Other - First Name:BRETTE
Other - Middle Name:M
Other - Last Name:RICHARDS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSPT
Mailing Address - Street 1:2191 POST RD
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-1509
Mailing Address - Country:US
Mailing Address - Phone:401-681-4885
Mailing Address - Fax:508-528-5729
Practice Address - Street 1:2191 POST RD
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-1509
Practice Address - Country:US
Practice Address - Phone:401-681-4885
Practice Address - Fax:401-681-4888
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2024-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY68120OtherINDIVUAL BCBS
MA470160OtherTUFTS INDIVISDUAL NUMBER
Y68997Medicare PIN
MAY68120OtherINDIVUAL BCBS
MAUX8241Medicare UPIN