Active NPI
Evan Michael Choquette
- Occupational Therapist
- Cranston, RI
National Provider Identifier
1760113070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT02101
- Practice address
- 53 Chestnut Ave
Cranston, RI 02910-4626 - Phone
- (401) 479-5377
- NPI assigned
- Jun 19, 2022
- Sex
- Male
- 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 | OT02101 | RI | Primary |
Addresses
Primary practice location
53 Chestnut Ave
Cranston, RI 02910-4626
Mailing address
53 Chestnut Ave
Cranston, RI 02910-4626
Phone (401) 479-5377
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732492800000",
"number": "1760113070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53 CHESTNUT AVE",
"city": "CRANSTON",
"state": "RI",
"postal_code": "029104626",
"telephone_number": "401-479-5377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "53 CHESTNUT AVE",
"city": "CRANSTON",
"state": "RI",
"postal_code": "029104626",
"telephone_number": "401-479-5377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOQUETTE",
"first_name": "EVAN",
"middle_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-19",
"last_updated": "2024-11-25",
"certification_date": "2024-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "RI",
"license": "OT02101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cranston, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.