JACOB PAUL RICCARDI (NPI# 1093110868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093110868 |
| Entity Type | Individual |
| Full Name | JACOB PAUL RICCARDI |
| Credential | OTRL |
| Practice Address |
184 Main Street Fairhaven MA 02719 |
| Mailing Address |
90 Charles Drive Unit 1 Tiverton RI 02878 |
| Practice Telephone | 5089973193 |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2014-10-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 11218 | MA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | NBCOT LICENSURE NUMBER | 11218 | 01 |
| Street Address |
184 MAIN STREET |
| City | FAIRHAVEN |
| State | MA |
| Zip Code | 02719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902817299 | 184 Main LLC | Skilled Nursing Facility | 184 Main Street, Fairhaven, MA 02719 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457589772 | David Paul Patterson | Nurse Practitioner | 271 Alden Rd, Fairhaven, MA 02719 | 2009-06-25 |
| 1245415983 | Carol Ann Reeve | Social Worker | 21 Nelson Ave, Fairhaven, MA 02719 | 2007-12-31 |
| 1194842716 | Cathleen Lacy | Physical Therapist | 333 Bridge St, Fairhaven, MA 02719 | 2007-03-26 |
| 1700903978 | Barbara Ann Acksen | Psychologist | 91 Green Street, Fairhaven, MA 02719 | 2007-03-23 |
| 1811023260 | Merolla Chiropractic Inc | Chiropractor | 73 Alden Rd, Fairhaven, MA 02719 | 2007-02-27 |
| 1982746442 | Michele E Merolla | Chiropractor | 73 Aiden Rd, Fairhaven, MA 02719 | 2007-02-13 |
| 1417016338 | Brian K Bowcock | Chiropractor | 84 Huttleston Avenue, Fairhaven, MA 02719 | 2006-12-06 |
| 1104937697 | Southcoast Visiting Nurse Association. Inc | Home Health | 200 Mill Road, Suite 120, Fairhaven, MA 02719 | 2006-08-31 |
| 1821584103 | Smiley Dental Care Pllc | Clinic/Center | 17 Berdon Way, Fairheaven, MA 02719 | 2018-07-10 |
| 1558794651 | Kimberly Ann Moniz | Nurse Practitioner | 200 Mill Road, Suite 180, Fairhaven, MA 02719 | 2013-08-13 |
| Find all providers in zip 02719 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790932317 | Breanne Cleveland | Occupational Therapist | 8 Upton St, Fairhaven, MA 02719-1921 | 2008-08-26 |
| 1861619561 | Alyson Haskell | Occupational Therapist | 389 Alden Rd, Fairhaven, MA 02719-4451 | 2007-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336749605 | Move for Life Physical Therapy LLC | Occupational Therapist | 253 Washington Street, Assist Living Facility, Hudson, MA 01749-0174 | 2020-10-27 |
| 1982201307 | Carolyn Marie D'olympio | Occupational Therapist | 5 Central St, Wakefield, MA 01880-1701 | 2020-10-08 |
| 1245844240 | Samantha Elizabeth Colaw | Occupational Therapist | 148 Old Schoolhouse Ln, Hanover, MA 02339-1356 | 2020-09-07 |
| 1013520295 | Clare Marie Brabson | Occupational Therapist | 18 Saint John St Apt 1r, Jamaica Plain, MA 02130-2517 | 2020-08-26 |
| 1770192866 | Paige Burwell Spence-berthiaume | Occupational Therapist | 52 Boyden Rd Unit 209, Holden, MA 01520-2592 | 2020-07-24 |
| 1487262523 | Gretchen Segers | Occupational Therapist | 45 Gordon St, Somerville, MA 02144-1109 | 2020-07-15 |
| 1588281794 | Rebekah Whitener | Occupational Therapist | 163 Summer St Apt 33, Somerville, MA 02143-2627 | 2020-07-03 |
| 1184248973 | Meredith J Cohen | Occupational Therapist | 20 Maxim Pl, Quincy, MA 02169-3528 | 2020-06-08 |
| 1043834195 | Jennifer Phillips | Occupational Therapist | 1 Keefe Ave, Newton, MA 02464-1316 | 2020-06-04 |
| 1124647730 | Diane Willette Walker | Occupational Therapist | 179 Baldwin Rd, Billerica, MA 01821-3013 | 2020-04-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.