Active NPIIndividual providerSole proprietor

Ms. Shelley V Anderson, OT

Occupational Therapist, Hand in Providence, Rhode Island

NPI Number1588995005
Practice location
2 Dudley St, Suite 200, Providence, RI 02905-3248
Fax
401-457-2198
Last updated
October 19, 2012

Shelley Vicky Anderson is an Occupational Therapist, Hand based in Providence, RI. Shelley Vicky Anderson practices in Providence, RI and has the professional credentials of OT. The NPI Number for Shelley Vicky Anderson is 1588995005 and holds a License No. 10010 (MA). The current practice location address for Shelley Vicky Anderson is 2 Dudley St, Suite 200, Providence, RI 02905-3248 and can be reached out via phone at 401-457-2158 and via fax at 401-457-2198.

Provider Profile Details

NPI Number
1588995005
Provider Name
Shelley Vicky Anderson
Credential
OT
Provider Entity Type
Individual
Gender
Female
Address
2 Dudley St, Suite 200, Providence, RI 02905-3248
Phone Number
401-457-2158
Fax Number
401-457-2198
Primary Taxonomy
Occupational Therapist, Hand · 225XH1200X
Sole Proprietor
Yes
Provider Enumeration Date
January 22, 2010
Last Update Date
October 19, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
2 Dudley St
Suite 200
Providence, RI 02905-3248
Zip
02905-3248
Phone Number
401-457-2158
Fax Number
401-457-2198
Providence, RI 02905Get directions →

Provider Business Mailing Address Details

Address
Po Box 1119
Providence, RI 02901-1119
City
Providence
State
RI
Zip
02901-1119
Phone Number
401-457-1580
Fax Number
401-831-0500

License Information

License Number (1)
10010
License State (1)
MA
Taxonomy (1)
Occupational Therapist · 225X00000X
License Number (2)
292
License State (2)
RI
Taxonomy (2)
Occupational Therapist, Hand · 225XH1200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Shelley V Anderson, OT?

The NPI number of Ms. Shelley V Anderson, OT is 1588995005. It was assigned on January 22, 2010 and is currently active in the NPPES registry.

What is the specialty of Ms. Shelley V Anderson, OT?

Ms. Shelley V Anderson, OT is registered under the primary taxonomy Occupational Therapist, Hand (code 225XH1200X), licensed in MA under license number 10010.

Where does Ms. Shelley V Anderson, OT practice?

The practice location is 2 Dudley St, Suite 200, Providence, RI 02905-3248. The office can be reached at 401-457-2158 (phone) or 401-457-2198 (fax).

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 1588995005 directly on the NPPES registry website.

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