Individual provider Active NPI

Jacalyn M. Pappas, O.T.

  • Occupational Therapist
  • Johnston, RI
National Provider Identifier
1164628103
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT00681 Issued in RI
Practice address
1539 Atwood Ave
Suite 202
Johnston, RI 02919-3262
Phone
(401) 351-0515
Fax
(401) 351-0516
NPI assigned
Jun 26, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT00681 RI Primary

Addresses

Primary practice location

1539 Atwood Ave
Suite 202
Johnston, RI 02919-3262

Mailing address

PO Box 20372
Cranston, RI 02920-0944
Phone (401) 785-1016

Other names 1

  • Jacalyn Wrobel Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080305000498 RI Practitioner - Occupational Therapist in Private Practice 1759466485 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pappas Physical Therapy LLCGroup PAC ID 2567708233, 80 clinicians

Practice addresses (Care Compare)

1539 Atwood Ave
Suite 202
Johnston, RI 02919-3262
Phone (401) 351-0515

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pappas Physical Therapy LLC CurrentSince Nov 1, 2018 Accepting new patients
Pappas Physical Therapy LLC Occupational Therapist CurrentSince Nov 1, 2018 Accepting new patients
Lepre Physical Therapy of North Providence, LLC Past Accepting new patients
Lepre Physical Therapy Past Accepting new patients

Locations

236 County Rd
Barrington, RI 02806
Phone (401) 245-8855

652 Wood St
Bristol, RI 02809
Phone (401) 253-3710

1100 Reservoir Ave
Cranston, RI 02910
Phone (401) 785-3334

1539 Atwood Ave
Ste 202
Johnston, RI 02919
Phone (401) 351-0515

1539 Atwood Ave
Ste 204
Johnston, RI 02919
Phone (401) 351-0515

2 Wake Robin Rd
Ste 101
Lincoln, RI 02865
Phone (401) 333-1747

1181 Aquidneck Ave
Middletown, RI 02842
Phone (401) 845-0840

1525 Smith St
Ste 5
North Providence, RI 02911
Phone (401) 353-8884

1812 Main Rd
Tiverton, RI 02878
Phone (401) 625-9855

730 Kingstown Rd
Ste A14
Wakefield, RI 02879
Phone (401) 284-3424

2191 Post Rd
Warwick, RI 02886
Phone (401) 351-0515

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164628103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20372",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029200944",
            "telephone_number": "401-785-1016",
            "fax_number": "401-785-1018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1539 ATWOOD AVE",
            "address_2": "SUITE 202",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029193262",
            "telephone_number": "401-351-0515",
            "fax_number": "401-351-0516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPPAS",
        "first_name": "JACALYN",
        "middle_name": "M.",
        "credential": "O.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "RI",
            "license": "OT00681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACALYN",
            "last_name": "WROBEL",
            "credential": "O.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Johnston, 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.