Matthew Ricketson in Pawtucket - Occupational Therapist
Matthew Ricketson - NPI 1790708469
Matthew Ricketson is a Occupational Therapist in Pawtucket, Rhode Island. Matthew Ricketson practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Matthew Ricketson is 1790708469. The last update date is 2018-06-01.
Matthew Ricketson's current location address is 588 Pawtucket Ave, Pawtucket, Rhode Island. You can contact this provider via phone number 4017222400 and fax number 4017283920. The mailing address for Matthew Ricketson is 588 Pawtucket Ave, Pawtucket, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Matthew Ricketson |
|---|---|
| Address | 588 Pawtucket Ave, Pawtucket, Rhode Island |
| Phone Number | 4017222400 |
| Fax Number | 4017283920 |
| Sole Proprietor | N |
| Credentials | OT |
NPI Number Detail
| NPI Number | 1790708469 |
|---|---|
| Provider Enumeration Date | 2006-07-25 |
| Last Updated Date | 2018-06-01 |
Provider Mailing Address Detail
| Address | 588 Pawtucket Ave |
|---|---|
| City | Pawtucket |
| State | Rhode Island (RI) |
| Post Code | 2860 |
| Phone Number | 4017222400 |
| Fax Number | 4017283920 |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | OT00910 |
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Definition: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federat |
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What is the unique 10-digit identifier code issued to Matthew Ricketson by the Centers for Medicare & Medicaid Services?
The Matthew Ricketson has been assigned the NPI (National Provider Identifier) 1790708469 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Matthew Ricketson is located?
The Matthew Ricketson is situated at the following address: 588 Pawtucket Ave, Pawtucket, RI, 2860.
What is Matthew Ricketson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Matthew Ricketson's area of specialization is Occupational Therapist, and the corresponding taxonomy code that categorizes this field of practice is 225X00000X.
On what date did the Matthew Ricketson receive the assignment of its 1790708469 from the Centers for Medicare & Medicaid Services?
The Matthew Ricketson was issued its 1790708469 by the Centers for Medicare & Medicaid Services on 2006-07-25.
When was the Matthew Ricketson's information last updated?
The Matthew Ricketson's information was last updated on 2018-06-01.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY