Active NPI
Ian Daniel Barlow, OTR/L
- Occupational Therapist
- Narragansett, RI
National Provider Identifier
1154366342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT 00949
- Practice address
- 140 Point Judith Rd
Unit A13
Narragansett, RI 02882-3451 - Phone
- (401) 792-0900
- Fax
- (401) 782-2916
- NPI assigned
- Jun 19, 2006
- Sex
- Male
- 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 | OT 00949 | RI | Primary |
Addresses
Primary practice location
140 Point Judith Rd
Unit A13
Narragansett, RI 02882-3451
Mailing address
21 Johnson PL
Wakefield, RI 02879-4001
Phone (401) 862-4620
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25592-1 | Other | RI | BLUE CROSS |
| 31453-8 | Other | RI | BLUE CROSS |
| 410678 | Other | RI | BLUE CHIP |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT 00949 | RI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217808000000",
"number": "1154366342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 JOHNSON PL",
"city": "WAKEFIELD",
"state": "RI",
"postal_code": "028794001",
"telephone_number": "401-862-4620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 POINT JUDITH RD",
"address_2": "UNIT A13",
"city": "NARRAGANSETT",
"state": "RI",
"postal_code": "028823451",
"telephone_number": "401-792-0900",
"fax_number": "401-782-2916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARLOW",
"first_name": "IAN",
"middle_name": "DANIEL",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-19",
"last_updated": "2008-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "RI",
"license": "OT 00949",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "25592-1",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "31453-8",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHIP",
"identifier": "410678",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Narragansett, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.