Matthew Ricketson, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT00910 Issued in RI

Practice address

588 Pawtucket Ave
Pawtucket, RI 02860

Phone

(401) 722-2400

Fax

(401) 728-3920

NPI assigned

Jul 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Affinity Physicians LLC.Group PAC ID 0244413391, 723 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mricketson@direct.carene.org

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

• Affinity Physicians LLC.

  • Internal Medicine Physician
  • Warwick, RI
  • NPI 1184944662

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Affinity Physicians LLC

  • Anesthesiology Physician
  • Providence, RI
  • NPI 1053038471
  NPD

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1790708469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 TOUISSET AVE.",
            "city": "SWANSEA",
            "state": "MA",
            "postal_code": "027775347",
            "telephone_number": "401-339-0086",
            "fax_number": "401-728-3920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "588 PAWTUCKET AVE",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "02860",
            "telephone_number": "401-722-2400",
            "fax_number": "401-728-3920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Butler Dr",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029064862",
            "country_code": "US",
            "telephone_number": "401-729-2800",
            "fax_number": "401-729-2877",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Plain St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029034828",
            "country_code": "US",
            "telephone_number": "401-729-2900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6 Blackstone Valley Pl",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "RI",
            "postal_code": "028651179",
            "country_code": "US",
            "telephone_number": "401-729-2800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 Brewster St",
            "address_purpose": "LOCATION",
            "city": "Pawtucket",
            "state": "RI",
            "postal_code": "028604400",
            "country_code": "US",
            "telephone_number": "401-729-2800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICKETSON",
        "first_name": "MATTHEW",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "RI",
            "license": "OT00910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mricketson@direct.carene.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "100 Butler Dr",
            "city": "Providence",
            "state": "RI",
            "country_code": "US",
            "postal_code": "029064862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rhode Island Spine Center Inc
• Ri Suport Network LLC
• Kathleen Lyn Ricci, RN
• Laurie Mansfield Riccio, LICSW
• Caroline R Richardson, MD
• Kim S Rickler, MSW
• Barbara Ricman, LICSW
• Mary Ridge I, LICSW
• John Riedel, MD
• Alisha Rioles, RN

• Occupational Therapist in Pawtucket, RI
• Providers in Pawtucket, 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 Jul 19, 2024; 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.