Individual provider Active NPI

Olivia Maeve Dineen, OTR/L

  • Occupational Therapist
  • Waterbury, CT
National Provider Identifier
1306460944
Registry record updated May 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5439 Issued in CT
Practice address
145 Grove St
Waterbury, CT 06710-2202
Phone
(203) 753-7205
NPI assigned
May 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5439 CT Primary

Addresses

Primary practice location

145 Grove St
Waterbury, CT 06710-2202

Mailing address

10 The Crossway
Yonkers, NY 10701-5308
Phone (914) 393-9346

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231207001745 RI Practitioner - Occupational Therapist in Private Practice 4880043454 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedics Rhode Island IncGroup PAC ID 7012225907, 123 clinicians

Practice addresses (Care Compare)

300 Crossings Blvd
Warwick, RI 02886-2878
Phone (401) 777-7000

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5439CTMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedics Rhode Island, Inc Occupational Therapist CurrentSince Oct 16, 2023 Accepting new patients
Orthopedics Rhode Island, Inc CurrentSince Oct 16, 2023 Accepting new patients

Locations

588 Pawtucket Ave
Pawtucket, RI 02860
Phone (401) 722-2400

300 Crossings Blvd
Warwick, RI 02886
Phone (716) 208-1708

200 Crossings Blvd
Ste 310
Warwick, RI 02886

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1590710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590710400000",
    "number": "1306460944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 THE CROSSWAY",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107015308",
            "telephone_number": "914-393-9346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 GROVE ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067102202",
            "telephone_number": "203-753-7205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINEEN",
        "first_name": "OLIVIA",
        "middle_name": "MAEVE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-29",
        "last_updated": "2020-05-29",
        "certification_date": "2020-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CT",
            "license": "5439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2020; 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.