Active NPI
Andrea B. Perry, OTR/L, CIMI
- Occupational Therapist
- Providence, RI
National Provider Identifier
1073605309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT00782
- Practice address
- 134 Thurbers Ave.
C/O Family Service of Rhode Island
Providence, RI 02905 - Phone
- (401) 331-1350
- Fax
- (401) 277-3366
- NPI assigned
- Sep 28, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT00782 | RI | Primary |
Addresses
Primary practice location
134 Thurbers Ave.
C/O Family Service of Rhode Island
Providence, RI 02905
Mailing address
121 Maplewood Ave
Cranston, RI 02920
Phone (401) 331-1350
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT00782 | RI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Service of Rhode Island Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Providence, RI
- NPI 1063547776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073605309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 MAPLEWOOD AVE",
"city": "CRANSTON",
"state": "RI",
"postal_code": "02920",
"telephone_number": "401-331-1350",
"fax_number": "401-277-3366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 THURBERS AVE.",
"address_2": "C/O FAMILY SERVICE OF RHODE ISLAND",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "02905",
"telephone_number": "401-331-1350",
"fax_number": "401-277-3366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "ANDREA",
"middle_name": "B.",
"credential": "OTR/L, CIMI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "RI",
"license": "OT00782",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.