Provider Demographics
NPI:1821567512
Name:GIOIA, RALEIGH SHEEHAN (OTR/L)
Entity type:Individual
Prefix:
First Name:RALEIGH
Middle Name:SHEEHAN
Last Name:GIOIA
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:382 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CHESHIRE
Mailing Address - State:CT
Mailing Address - Zip Code:06410-1379
Mailing Address - Country:US
Mailing Address - Phone:203-250-9663
Mailing Address - Fax:203-699-9641
Practice Address - Street 1:382 S MAIN ST
Practice Address - Street 2:
Practice Address - City:CHESHIRE
Practice Address - State:CT
Practice Address - Zip Code:06410-1379
Practice Address - Country:US
Practice Address - Phone:032-250-9663
Practice Address - Fax:032-699-9641
Is Sole Proprietor?:No
Enumeration Date:2018-11-26
Last Update Date:2025-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIOT01764225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
RISB870OtherBLUE CROSS
RIES01788Medicaid
RI0614OtherNEIGHBORHOOD HEALTH