Johnathan Matthew Anderson I
Individual provider Active NPI Occupational Therapy Assistant · East Greenwich, RI
NPI 1740030337 · NPPES record last updated Mar 25, 2024
Key facts
- NPI
- 1740030337
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- OTA01335 (RI)
- Practice address
- 2220 S County TRL
East Greenwich, RI 02818-1536 - Phone
- (401) 295-2955
- NPI assigned
- Mar 25, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| OTA01335 | RI | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OTA01335 | RI | Yes |
Addresses
Primary practice location
2220 S County TRL
East Greenwich, RI 02818-1536
Mailing address
3595 Post Rd Apt 23205
Warwick, RI 02886-7030
Other providers in East Greenwich, RI
- Steven Alden
- Alexa R Raymond MD LLC
- Sarah West Allen
- Chiara Alicia Amendola
- Stephen Mark Anders
- Katie C. Anderson
- Laurie J. Anderson
- Andrea M. Doyle, M.D., LLC
- Andrew J. Lemoi D.P.M., Inc.
- Angela Fishman, D.O., Inc.
All providers in East Greenwich, RI · Occupational Therapy Assistant in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2024. 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.