Richard G. Sica, O.T.R.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR00542100 Issued in NJ

Practice address

168 Franklin Tpke
Ste 103B
Waldwick, NJ 07463-1848

Phone

(201) 493-7440

Fax

(201) 493-7445

NPI assigned

Mar 15, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• At Home by Enhance Therapies LLC

  • Physical Therapist
  • Lakewood, NJ
  • NPI 1124603246

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1300147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300147200000",
    "number": "1285933374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "491 EISENHOWER CT",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074812205",
            "telephone_number": "201-847-0881",
            "fax_number": "201-493-7445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 FRANKLIN TPKE",
            "address_2": "STE 103B",
            "city": "WALDWICK",
            "state": "NJ",
            "postal_code": "074631848",
            "telephone_number": "201-493-7440",
            "fax_number": "201-493-7445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SICA",
        "first_name": "RICHARD",
        "middle_name": "G.",
        "credential": "O.T.R.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-15",
        "last_updated": "2011-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00542100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sensory Taekwondo of Waldwick
• Rebekah Leibe Shackney, LCSW
• Surina Shah, PHARM.D.
• Dominick Anthony Shao-Berkery
• Gary L Sherman, DC
• Daniel A Sievers, PHARMD
• Stephanie D Sipala, DPT
• Deanna L Smith
• Jonathan Smith, M.D.
• Michael Lloyd Smith Jr., APN

• Occupational Therapist in Waldwick, NJ
• Providers in Waldwick, NJ by specialty
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.