Individual provider Active NPI

Priscilla Ferreira Nova, MS, OTR/L

  • Occupational Therapist
  • Providence, RI
National Provider Identifier
1376828418
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT01243 Issued in RI
Practice address
134 Thurbers Ave
Providence, RI 02905-4754
Phone
(401) 331-1350
Fax
(401) 277-3388
NPI assigned
Oct 20, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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 OT01243 RI Primary

Addresses

Primary practice location

134 Thurbers Ave
Providence, RI 02905-4754

Mailing address

1240 Pawtucket Ave Ste 11
Rumford, RI 02916-1432
Phone (401) 331-1350

Other practice location 1

1240 Pawtucket Ave Ste 11
Rumford, RI 02916-1432
Phone (401) 301-1014

Other names 1

  • Priscilla Ferreira Vasconcelos Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
OT01243RIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Optimal Therapy & Custom Celebrations LLC Occupational Therapist Current Accepting new patients

Locations

1240 Pawtucket Ave
Ste 11
Rumford, RI 02916
Phone (401) 301-1014

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.

NPI Registry JSON

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

{
    "created_epoch": "1319068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1376828418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 PAWTUCKET AVE STE 11",
            "city": "RUMFORD",
            "state": "RI",
            "postal_code": "029161432",
            "telephone_number": "401-331-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 THURBERS AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029054754",
            "telephone_number": "401-331-1350",
            "fax_number": "401-277-3388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1240 Pawtucket Ave Ste 11",
            "address_purpose": "LOCATION",
            "city": "Rumford",
            "state": "RI",
            "postal_code": "029161432",
            "country_code": "US",
            "telephone_number": "401-301-1014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOVA",
        "first_name": "PRISCILLA",
        "middle_name": "FERREIRA",
        "name_prefix": "Mrs.",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-20",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "RI",
            "license": "OT01243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PRISCILLA",
            "last_name": "VASCONCELOS",
            "middle_name": "FERREIRA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; 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.