Active NPIIndividual providerSole proprietor

Bianca Desousa

Occupational Therapist in Gloucester, Massachusetts

NPI Number1790649507
Practice location
4 Reservoir RD, Gloucester, MA 01930-2200
Fax
—
Last updated
December 15, 2025

Bianca Desousa is an Occupational Therapist based in Gloucester, MA. Bianca Desousa practices in Gloucester, MA. The NPI Number for Bianca Desousa is 1790649507 and holds a License No. OTL36340 (MA). The current practice location address for Bianca Desousa is 4 Reservoir RD, Gloucester, MA 01930-2200 and can be reached out via phone at 908-399-7854.

Provider Profile Details

NPI Number
1790649507
Provider Name
Bianca Desousa
Provider Entity Type
Individual
Gender
Female
Address
4 Reservoir RD, Gloucester, MA 01930-2200
Phone Number
908-399-7854
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
Yes
Provider Enumeration Date
December 15, 2025
Last Update Date
December 15, 2025
Certification Date
December 15, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
4 Reservoir RD
Gloucester, MA 01930-2200
Zip
01930-2200
Phone Number
908-399-7854
Gloucester, MA 01930Get directions →

Provider Business Mailing Address Details

Address
4 Reservoir RD
Gloucester, MA 01930-2200
City
Gloucester
State
MA
Zip
01930-2200
Phone Number
908-399-7854

License Information

License Number
OTL36340
License State
MA
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 Bianca Desousa?

The NPI number of Bianca Desousa is 1790649507. It was assigned on December 15, 2025 and is currently active in the NPPES registry.

What is the specialty of Bianca Desousa?

Bianca Desousa is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in MA under license number OTL36340.

Where does Bianca Desousa practice?

The practice location is 4 Reservoir RD, Gloucester, MA 01930-2200. The office can be reached at 908-399-7854 (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 1790649507 directly on the NPPES registry website.

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