Individual provider Active NPI

Barbara Joanna Belicia, OTRL

  • Physical Rehabilitation Occupational Therapist
  • Derby, CT
National Provider Identifier
1215325329
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X
License
004280 Issued in CT
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.

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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
004280CTMDGerontology Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wholeperson Therapeutics LLC Occupational Therapist CurrentSince May 1, 2018 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)CodeLicenseStatePrimary
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 Registry

Primary 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
IdentifierTypeStateIssuer
068560OtherCTUHC
1284635OtherCTANTHEM
1200590OtherCTAETNA
20005664OtherCTHARVARD
3812947OtherCTWELLCARE
8078938MedicaidCT
1284635OtherCTCIGNA
1158567OtherCTCONNECTICARE
068560OtherCTMEDRISK

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.

Verify at the official NPI Registry.