IMAGO REHAB INC NPI 1205407236

NPI Information

  • NPI: 1205407236
  • Provider Name: IMAGO REHAB, INC
  • Classification: Occupational Therapist - 225XN1300X
  • Specialization: Neurorehabilitation
  • Entity Type: Organization
  • Other Name: IMAGO REHAB, INC.
  • Address: 110 CANAL ST
    3RD FLOOR
    LOWELL, MA
    ZIP 01852
  • Phone: (617) 671-0789

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NPI Details

IMAGO REHAB, INC is a neurorehabilitation occupational therapist in Lowell, MA. IMAGO REHAB, INC NPI is 1205407236. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Imago Rehab, Inc..

The provider's business location address is:

110 CANAL ST
3RD FLOOR
LOWELL, MA
ZIP 01852
Phone: (617) 671-0789
Fax: (617) 250-8243

The provider's authorized official is Kristin Nuckols .
The authorized official title is Co-founder, Chief Clinical Officer and has the following contact phone number (617) 671-0789.

The enumeration date for this NPI number is 7/9/2021 and was last updated on 10/6/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225XN1300XOccupational TherapistNeurorehabilitationYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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