Active NPIIndividual provider

Andrea E Penacho, OTRL

Occupational Therapist in Cranston, Rhode Island

NPI Number1750331682
Practice location
721 Reservoir Ave, Cranston, RI 02910-4430
Fax
401-275-5645
Last updated
January 4, 2021

Andrea E Penacho is an Occupational Therapist based in Cranston, RI. Andrea E Penacho practices in Cranston, RI and has the professional credentials of OTRL. The NPI Number for Andrea E Penacho is 1750331682 and holds a License No. OT00513 (RI). The current practice location address for Andrea E Penacho is 721 Reservoir Ave, Cranston, RI 02910-4430 and can be reached out via phone at 401-946-4250 and via fax at 401-275-5645.

Provider Profile Details

NPI Number
1750331682
Provider Name
Andrea E Penacho
Credential
OTRL
Provider Entity Type
Individual
Gender
Female
Address
721 Reservoir Ave, Cranston, RI 02910-4430
Phone Number
401-946-4250
Fax Number
401-275-5645
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
No
Provider Enumeration Date
May 11, 2006
Last Update Date
January 4, 2021
Certification Date
January 4, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
721 Reservoir Ave
Cranston, RI 02910-4430
Zip
02910-4430
Phone Number
401-946-4250
Fax Number
401-275-5645
Cranston, RI 02910Get directions →

Provider Business Mailing Address Details

Address
227 Greenbrier Dr
Seekonk, MA 02771-5647
City
Seekonk
State
MA
Zip
02771-5647
Phone Number
401-484-4989

License Information

License Number
OT00513
License State
RI
Taxonomy
Occupational Therapist · 225X00000X · 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 Andrea E Penacho, OTRL?

The NPI number of Andrea E Penacho, OTRL is 1750331682. It was assigned on May 11, 2006 and is currently active in the NPPES registry.

What is the specialty of Andrea E Penacho, OTRL?

Andrea E Penacho, OTRL is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in RI under license number OT00513.

Where does Andrea E Penacho, OTRL practice?

The practice location is 721 Reservoir Ave, Cranston, RI 02910-4430. The office can be reached at 401-946-4250 (phone) or 401-275-5645 (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 1750331682 directly on the NPPES registry website.

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