Mary Fatima Adams, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA00236 Issued in RI

Practice address

75 East St
Providence, RI 02903-4472

Phone

(401) 272-5280

Fax

(505) 468-3550

NPI assigned

Dec 5, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Mary Fatima Goulart Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1354665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354665600000",
    "number": "1306181102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 EAST ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034472",
            "telephone_number": "401-272-5280",
            "fax_number": "505-468-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 EAST ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034472",
            "telephone_number": "401-272-5280",
            "fax_number": "505-468-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "MARY",
        "middle_name": "FATIMA",
        "name_prefix": "Mrs.",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-05",
        "last_updated": "2012-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "RI",
            "license": "OTA00236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "GOULART",
            "middle_name": "FATIMA",
            "prefix": "MS.",
            "credential": "COTA/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cathleen Marie Adams, M.D.
• Emily Nina Adams, MD
• Emily Sarah Adams
• Jianna Alyssa Adams
• Juliana Adams, MSW, LICSW
• Maureen Adams, CRNA
• Richard Warren Adams, PA-C
• Shaynna Adams, LSW
• Adaptive Prosthetics & Orthotics LLC
• Ashley L Addison, BA, LCDP, CCSP

• All providers in Providence, RI
• Occupational Therapy Assistant in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.