Individual provider Active NPI

Mary Lynn Sciarillo, OTR/L

  • Gerontology Occupational Therapist
  • Bradford, RI
National Provider Identifier
1487908828
Registry record updated Nov 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Occupational TherapistTaxonomy code 225XG0600X
License
003747 Issued in CT
Practice address
18 Woody Hill Ext
Bradford, RI 02808-1334
Phone
(401) 474-5227
NPI assigned
Nov 7, 2012
Last updated
Nov 7, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT01133 RI
Gerontology Occupational Therapist 225XG0600X 003747 CT Primary

Addresses

Primary practice location

18 Woody Hill Ext
Bradford, RI 02808-1334

Mailing address

18 Woody Hill Ext
Bradford, RI 02808-1334
Phone (401) 474-5227

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

State licenses

LicenseStateTypeSpecialty
003747CTMDPhysical Therapist
OT01133RIMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1352246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352246400000",
    "number": "1487908828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 WOODY HILL EXT",
            "city": "BRADFORD",
            "state": "RI",
            "postal_code": "028081334",
            "telephone_number": "401-474-5227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 WOODY HILL EXT",
            "city": "BRADFORD",
            "state": "RI",
            "postal_code": "028081334",
            "telephone_number": "401-474-5227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCIARILLO",
        "first_name": "MARY",
        "middle_name": "LYNN",
        "name_prefix": "Miss",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-07",
        "last_updated": "2012-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "RI",
            "license": "OT01133",
            "primary": false
        },
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "CT",
            "license": "003747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradford, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.