Active NPIIndividual provider

Matthew Ricketson, OT

Occupational Therapist in Pawtucket, Rhode Island

NPI Number1790708469
Practice location
588 Pawtucket Ave, Pawtucket, RI 02860
Fax
401-728-3920
Last updated
July 19, 2024

Matthew Ricketson is an Occupational Therapist based in Pawtucket, RI. Matthew Ricketson practices in Pawtucket, RI and has the professional credentials of OT. The NPI Number for Matthew Ricketson is 1790708469 and holds a License No. OT00910 (RI). The current practice location address for Matthew Ricketson is 588 Pawtucket Ave, Pawtucket, RI 02860 and can be reached out via phone at 401-722-2400 and via fax at 401-728-3920.

Provider Profile Details

NPI Number
1790708469
Provider Name
Matthew Ricketson
Credential
OT
Provider Entity Type
Individual
Gender
Male
Address
588 Pawtucket Ave, Pawtucket, RI 02860
Phone Number
401-722-2400
Fax Number
401-728-3920
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
No
Provider Enumeration Date
July 25, 2006
Last Update Date
July 19, 2024
Certification Date
July 19, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
588 Pawtucket Ave
Pawtucket, RI 02860
Zip
02860
Phone Number
401-722-2400
Fax Number
401-728-3920
Pawtucket, RI 02860Get directions →

Provider Business Mailing Address Details

Address
142 Touisset Ave.
Swansea, MA 02777-5347
City
Swansea
State
MA
Zip
02777-5347
Phone Number
401-339-0086
Fax Number
401-728-3920

License Information

License Number
OT00910
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 Matthew Ricketson, OT?

The NPI number of Matthew Ricketson, OT is 1790708469. It was assigned on July 25, 2006 and is currently active in the NPPES registry.

What is the specialty of Matthew Ricketson, OT?

Matthew Ricketson, OT is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in RI under license number OT00910.

Where does Matthew Ricketson, OT practice?

The practice location is 588 Pawtucket Ave, Pawtucket, RI 02860. The office can be reached at 401-722-2400 (phone) or 401-728-3920 (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 1790708469 directly on the NPPES registry website.

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