Therese Eileen Riccardi
Individual provider Active NPI Occupational Therapist · Cobalt, CT
NPI 1407710858 · NPPES record last updated Dec 10, 2025
Key facts
- NPI
- 1407710858
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 004672 (CT)
- Practice address
- 29 Middle Haddam Rd
Cobalt, CT 06414-8004 - Phone
- (860) 267-9034
- NPI assigned
- Dec 10, 2025
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004672 | CT | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Z Incorporated | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 004672 | CT | Yes |
Addresses
Primary practice location
29 Middle Haddam Rd
Cobalt, CT 06414-8004
Mailing address
18 Bradley Way
Glastonbury, CT 06033-3278
Phone (201) 362-2312
Other practice location 1
275 Steele Rd
West Hartford, CT 06117-2716
Phone (860) 570-8200
Other providers in Cobalt, CT
All providers in Cobalt, CT · Occupational Therapist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.