Jacalyn M. Pappas, O.T.
Individual provider Active NPI Occupational Therapist · Johnston, RI
NPI 1164628103 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1164628103
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT00681 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- 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 LLC
Practice addresses (Care Compare)
1539 Atwood Ave
Suite 202
Johnston, RI 02919-3262
Phone (401) 351-0515
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in RI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080305000498 | RI | Practitioner - Occupational Therapist in Private Practice | 1759466485 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT00681 | RI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pappas Physical Therapy LLC | Current |
Accepting new patients | |
| Pappas Physical Therapy LLC | Occupational Therapist | Current |
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) 785-1016
1539 Atwood Ave
Ste 204
Johnston, RI 02919
Phone (401) 351-0515
1539 Atwood Ave
Ste 202
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT00681 | RI | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OT00681 | Other | RI | STATE LICENSE NUMBER |
Other names
- Jacalyn Wrobel
Other providers in Johnston, RI
- Tayla Pacheco
- Srujana Pannem
- Pappas Physical Therapy LLC
- Pappas Physical Therapy LLC
- Pappas Physical Therapy of Johnston, LLC
- Michael J. Pappas
- Paradigm Shift
- Gennaro Frank Pasquariello
- Minta Patel
- Patientfirst Transport Solutions LLC.
All providers in Johnston, RI · Occupational Therapist in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.