Active NPI
Barbara Joanna Belicia, OTRL
- Physical Rehabilitation Occupational Therapist
- Derby, CT
National Provider Identifier
1215325329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Rehabilitation Occupational Therapist
- License
- 004280
- Practice address
- 101 Elizabeth St
Derby, CT 06418-1835 - Phone
- (203) 636-0065
- Fax
- (203) 399-0006
- NPI assigned
- Dec 26, 2014
- Sex
- Female
- Sole proprietor
- No
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 and National Provider Directory roles.
-
- Physical Rehabilitation Occupational Therapist
- Derby, CT
- NPI 1083113872
CT, Occupational Therapist
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1000 Bridgeport Ave
Suite 306
Shelton, CT 06484-4676
Phone (203) 636-0065
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180530000377 | CT | Practitioner - Occupational Therapist in Private Practice | 0547525206 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004280 | CT | MD | Gerontology Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wholeperson Therapeutics LLC | Occupational Therapist | Current | Accepting new patients |
Locations
101 Elizabeth St
Ste 1H
Derby, CT 06418
101 Elizabeth St
Derby, CT 06418
Phone (203) 735-9393
1000 Bridgeport Ave
Ste 306
Shelton, CT 06484
Phone (203) 636-0065
1000 Bridgeport Ave
Fl 3
Shelton, CT 06484
Specialties & licenses 5
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Environmental Modification Occupational Therapist | 225XE0001X | 004280 | CT | |
| Physical Rehabilitation Occupational Therapist | 225XP0019X | 004280 | CT | Primary |
| Neurorehabilitation Occupational Therapist | 225XN1300X | 004280 | CT | |
| Occupational Therapist | 225X00000X | 004280 | CT | |
| Gerontology Occupational Therapist | 225XG0600X | 004280 | CT |
Addresses
NPPES NPI RegistryPrimary practice location
101 Elizabeth St
Derby, CT 06418-1835
Mailing address
101 Elizabeth St
Derby, CT 06418-1835
Phone (203) 636-0065
Other identifiers 9
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 068560 | Other | CT | UHC |
| 1284635 | Other | CT | ANTHEM |
| 1200590 | Other | CT | AETNA |
| 20005664 | Other | CT | HARVARD |
| 3812947 | Other | CT | WELLCARE |
| 8078938 | Medicaid | CT | |
| 1284635 | Other | CT | CIGNA |
| 1158567 | Other | CT | CONNECTICARE |
| 068560 | Other | CT | MEDRISK |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 17, 2025.
{
"created_epoch": "1419552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758067200000",
"number": "1215325329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 ELIZABETH ST",
"city": "DERBY",
"state": "CT",
"postal_code": "064181835",
"telephone_number": "203-636-0065",
"fax_number": "203-399-0006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 ELIZABETH ST",
"city": "DERBY",
"state": "CT",
"postal_code": "064181835",
"telephone_number": "203-636-0065",
"fax_number": "203-399-0006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELICIA",
"first_name": "BARBARA",
"middle_name": "JOANNA",
"credential": "OTRL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-26",
"last_updated": "2025-09-17",
"certification_date": "2025-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "225XE0001X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Environmental Modification",
"state": "CT",
"license": "004280",
"primary": false
},
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "CT",
"license": "004280",
"primary": true
},
{
"code": "225XN1300X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Neurorehabilitation",
"state": "CT",
"license": "004280",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CT",
"license": "004280",
"primary": false
},
{
"code": "225XG0600X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Gerontology",
"state": "CT",
"license": "004280",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "068560",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "1284635",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "1200590",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD",
"identifier": "20005664",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "3812947",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8078938",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1284635",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "1158567",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDRISK",
"identifier": "068560",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Derby, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; 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.