Individual provider Active NPI

Peter Dasilva, MS OTR/L

  • Occupational Therapist
  • Glastonbury, CT
National Provider Identifier
1710402656
Registry record updated Aug 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
4819 Issued in CT
Practice address
195 Eastern Blvd
Glastonbury, CT 06033-4312
Phone
(860) 527-7161
NPI assigned
Aug 11, 2017
Last updated
Aug 11, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2017

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 4819 CT Primary
Hand Occupational Therapist 225XH1200X 4819 CT

Addresses

Primary practice location

195 Eastern Blvd
Glastonbury, CT 06033-4312

Mailing address

195 Eastern Blvd Ste 200
Glastonbury, CT 06033-4353
Phone (401) 741-0171

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221006002340 RI Practitioner - Occupational Therapist in Private Practice 9537433834 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2017
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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
4819CTMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedics Rhode Island, Inc CurrentSince Sep 12, 2022 Accepting new patients
Orthopedics Rhode Island, Inc Occupational Therapist Current Accepting new patients
Orthopedics Rhode Island, Inc CurrentSince Sep 12, 2022 Accepting new patients

Locations

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

200 Crossings Blvd
Ste 310
Warwick, RI 02886

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

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1502409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502409600000",
    "number": "1710402656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 EASTERN BLVD STE 200",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060334353",
            "telephone_number": "401-741-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 EASTERN BLVD",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060334312",
            "telephone_number": "860-527-7161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DASILVA",
        "first_name": "PETER",
        "credential": "MS OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-11",
        "last_updated": "2017-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CT",
            "license": "4819",
            "primary": true
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "CT",
            "license": "4819",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glastonbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2017; 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.