MATTHEW RICKETSON (OT) – Occupational Therapist, NPI 1790708469
Occupational Therapist
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NPPES metrics only — not quality of care.
75 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in RI
Provider Addresses for MATTHEW RICKETSON (OT)
100 Butler Dr
Providence, RI 029064862
Phone: (401) 729-2800
Fax: (401) 729-2877
Type: Location
6 Blackstone Valley Pl
Lincoln, RI 028651179
Phone: (401) 729-2800
Type: Location
111 Brewster St
Pawtucket, RI 028604400
Phone: (401) 729-2800
Type: Location
101 Plain St
Providence, RI 029034828
Phone: (401) 729-2900
Type: Location
588, Pawtucket Avenue, Woodlawn, Pawtucket, Providence County, Rhode Island, 02860, United States
PAWTUCKET, RI 02860
Phone: (401) 722-2400
Fax: (401) 728-3920
Type: Location
142, Touisset Avenue, Touisset, Swansea, Bristol County, Massachusetts, 02777, United States
SWANSEA, MA 027775347
Phone: (401) 339-0086
Fax: (401) 728-3920
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-03-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040309000240 | I | Occupational Therapist In Private Practice | RI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 62 | 17 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 48 | 13 | $0 |
| 97165 | Evaluation for occupational therapy, typically 30 minutes | 16 | 16 | $0 |
Insurance plans in this area (ZIP 02906)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OCCUPATIONAL THERAPY | RI | 97140 | Manual (physical) therapy techniques to 1 or more regions, each 15 minutes | 217 | 63 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | RI | |
| Internal Medicine | RI | |
| Physician Assistant | RI | |
| A N E S T H E S I O L O G Y | RI | |
| A N E S T H E S I O L O G Y | RI | |
| Cardiovascular Disease (Cardiology), Interventional Cardiology, Interventional Cardiology, Cardiovascular Disease (Cardiology) | RI | |
| Cardiovascular Disease (Cardiology) | MA | |
| Internal Medicine, Pulmonary Disease, Pulmonary Disease | MA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NY | |
| - | RI |
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