Individual provider Active NPI

Cherylee Ann Iannetta, OTA

  • Occupational Therapy Assistant
  • Providence, RI
National Provider Identifier
1720925340
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OTA00474 Issued in RI
Practice address
1427 Westerminister St
Unit 6F
Providence, RI 02909-1647
Phone
(401) 728-6500
NPI assigned
May 1, 2026
Last updated
May 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OTA00474 RI Primary

Addresses

Primary practice location

1427 Westerminister St
Unit 6F
Providence, RI 02909-1647

Mailing address

1427 Westminster St Unit 6F
Providence, RI 02909-1647
Phone (401) 728-6500

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
OTA00474RIMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1777593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777593600000",
    "number": "1720925340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1427 WESTMINSTER ST UNIT 6F",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029091647",
            "telephone_number": "401-728-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1427 WESTERMINISTER ST",
            "address_2": "UNIT 6F",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029091647",
            "telephone_number": "401-728-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IANNETTA",
        "first_name": "CHERYLEE",
        "middle_name": "ANN",
        "credential": "OTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-01",
        "last_updated": "2026-05-01",
        "certification_date": "2026-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "RI",
            "license": "OTA00474",
            "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 May 1, 2026; 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.