Jacob P Riccardi, OTRL
Occupational Therapist in Fairhaven, Massachusetts
1093110868- Practice location
- 184 Main Street, Fairhaven, MA 02719
- Phone
- 508-997-3193
- Fax
- —
- Last updated
- October 23, 2014
Jacob Paul Riccardi is an Occupational Therapist based in Fairhaven, MA. Jacob Paul Riccardi practices in Fairhaven, MA and has the professional credentials of OTRL. The NPI Number for Jacob Paul Riccardi is 1093110868 and holds a License No. 11218 (MA). The current practice location address for Jacob Paul Riccardi is 184 Main Street, Fairhaven, MA 02719 and can be reached out via phone at 508-997-3193.
Provider Profile Details
- NPI Number
- 1093110868
- Provider Name
- Jacob Paul Riccardi
- Credential
- OTRL
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 184 Main Street, Fairhaven, MA 02719
- Phone Number
- 508-997-3193
- Primary Taxonomy
- Occupational Therapist · 225X00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 23, 2014
- Last Update Date
- October 23, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 184 Main Street
Fairhaven, MA 02719 - City
- Fairhaven
- State
- Massachusetts
- Zip
- 02719
- Phone Number
- 508-997-3193
Provider Business Mailing Address Details
- Address
- 90 Charles Drive Unit 1
Tiverton, RI 02878 - City
- Tiverton
- State
- RI
- Zip
- 02878
License Information
- License Number
- 11218
- License State
- MA
- Taxonomy
- Occupational Therapist · 225X00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Occupational Therapists near Fairhaven, MA
View all Occupational Therapists in Fairhaven →Frequently Asked Questions
What is the NPI number of Jacob P Riccardi, OTRL?
The NPI number of Jacob P Riccardi, OTRL is 1093110868. It was assigned on October 23, 2014 and is currently active in the NPPES registry.
What is the specialty of Jacob P Riccardi, OTRL?
Jacob P Riccardi, OTRL is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in MA under license number 11218.
Where does Jacob P Riccardi, OTRL practice?
The practice location is 184 Main Street, Fairhaven, MA 02719. The office can be reached at 508-997-3193 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093110868 directly on the NPPES registry website.