Kimberly M Saccucci, OTD, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT00927 Issued in RI

Practice address

801 Read School House Rd
Coventry, RI 02816-8713

Phone

(401) 578-3501

NPI assigned

Apr 11, 2007

Last updated

Aug 28, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Kimberly M Proto Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Visions of Independence, LLC

  • Occupational Therapist
  • Sharon, MA
  • NPI 1992751457
  NPD (past)

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1760605067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 TROUT BROOK LN",
            "city": "HOPE",
            "state": "RI",
            "postal_code": "028311413",
            "telephone_number": "401-578-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 READ SCHOOL HOUSE RD",
            "city": "COVENTRY",
            "state": "RI",
            "postal_code": "028168713",
            "telephone_number": "401-578-3501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACCUCCI",
        "first_name": "KIMBERLY",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "RI",
            "license": "OT00927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OT LICENSE",
            "identifier": "OT00927",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "PROTO",
            "middle_name": "M",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dezarae Thereze Rossi
• Haley Rossi, APRN
• Thomas Rossi, LMT
• Rachael E Rudloff, M.S., BCBA, LABA
• Sarah Rachel Ryder, OTR/L
• Jenna Salines, LICSW
• Melissa Salvas
• Samantha Sandland
• Carol Sandoval-Pezzullo
• Mark Schwager, M.D.

• Occupational Therapist in Coventry, RI
• Providers in Coventry, RI by specialty
• Occupational Therapist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.