Individual provider Active NPI

Andrea Marie Horgan, OTR/L

  • Pediatric Occupational Therapist
  • Providence, RI
National Provider Identifier
1922317932
Registry record updated Sep 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT01250 Issued in RI
Practice address
134 Thurbers Ave
#220A
Providence, RI 02905-4754
Phone
(401) 270-9991
NPI assigned
Sep 26, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X OT01250 RI Primary

Addresses

Primary practice location

134 Thurbers Ave
#220A
Providence, RI 02905-4754

Mailing address

630 Smithfield Rd
Apt 314
North Providence, RI 02904-2900

Other names 1

  • Andrea Snider Former name

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
OT01250RIMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1285459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285459200000",
    "number": "1922317932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 SMITHFIELD RD",
            "address_2": "APT 314",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029042900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 THURBERS AVE",
            "address_2": "#220A",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029054754",
            "telephone_number": "401-270-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORGAN",
        "first_name": "ANDREA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-26",
        "last_updated": "2010-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "RI",
            "license": "OT01250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "SNIDER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Sep 26, 2010; 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.