Active NPI
Nicole Elizabeth Constantino, OTR L
- Occupational Therapist
- Providence, RI
National Provider Identifier
1649335209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 8953
- Practice address
- 1000 Eddy St
Providence, RI 02905-4739 - Phone
- (401) 345-6461
- NPI assigned
- Dec 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 8953 | MA | Primary |
Addresses
Primary practice location
1000 Eddy St
Providence, RI 02905-4739
Mailing address
1095 Glebe Street
Taunton, MA 02780
Phone (774) 644-4492
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8953 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334707200000",
"number": "1649335209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1095 GLEBE STREET",
"city": "TAUNTON",
"state": "MA",
"postal_code": "02780",
"telephone_number": "774-644-4492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 EDDY ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029054739",
"telephone_number": "401-345-6461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONSTANTINO",
"first_name": "NICOLE",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "OTR L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-26",
"last_updated": "2012-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "8953",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Apr 18, 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.