Healthcare Provider Details

I. General information

NPI: 1760306328
Provider Name (Legal Business Name): BARBARA KOGUT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 OMAN ST
FALL RIVER MA
02721-5220
US

IV. Provider business mailing address

220 OMAN ST
FALL RIVER MA
02721-5220
US

V. Phone/Fax

Practice location:
  • Phone: 203-615-8119
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number36769
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: