IndividualActive
Shawn Petrucci
NPI 1689178154 · Athletic Trainer · Wakefield, RI
Provider details
- NPI number
- 1689178154
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
153 Kings Ridge Rd
Wakefield, RI 02879-7675
Phone: (401) 575-7122
Street-level locationGet directions
Mailing address
153 Kings Ridge Rd
Wakefield, RI 02879-7675
Registry dates
- Enumerated
- 2018-03-20
- Last updated
- 2018-03-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.