Provider Demographics
NPI:1083113872
Name:WHOLEPERSON THERAPEUTICS LLC
Entity type:Organization
Organization Name:WHOLEPERSON THERAPEUTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:JOANNA
Authorized Official - Last Name:BELICIA
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:203-636-0065
Mailing Address - Street 1:101 ELIZABETH ST STE 1H
Mailing Address - Street 2:
Mailing Address - City:DERBY
Mailing Address - State:CT
Mailing Address - Zip Code:06418-1835
Mailing Address - Country:US
Mailing Address - Phone:203-636-0065
Mailing Address - Fax:203-399-0006
Practice Address - Street 1:101 ELIZABETH ST STE 1H
Practice Address - Street 2:
Practice Address - City:DERBY
Practice Address - State:CT
Practice Address - Zip Code:06418-1835
Practice Address - Country:US
Practice Address - Phone:203-636-0065
Practice Address - Fax:203-399-0006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-07
Last Update Date:2025-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical RehabilitationGroup - Single Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
No225XN1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistNeurorehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT068560OtherMEDRISK
CT3812947OtherWELLCARE
CT8078963Medicaid
CT1158567OtherCONNECTICARE
CT627714200OtherOWCP
CT068560OtherUNITED HEALTH CARE
CT1284635OtherCIGNA
CT1200590OtherAETNA
CT20005664OtherHAVARD PILGRIM
CT1284635OtherANTHEM BCBS
CT8078938Medicaid