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 |
1 | 225XH1200X | Occupational Therapist | Hand | | | No |
2 | 225X00000X | Occupational Therapist | | 6803 | MASSACHUSETTS | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
1 | 043527497 | OTHER | MASSACHUSETTS | CIGNA GROUP |
2 | 043527497 | OTHER | MASSACHUSETTS | NORTH REGIONS/TRICARE |
3 | 0799947 | OTHER | MASSACHUSETTS | NETWORK HEALTH GROUP |
4 | 11535147 | OTHER | MASSACHUSETTS | CAQH |
5 | Y69595 | MEDICARE ID-TYPE UNSPECIFIED | MASSACHUSETTS | INDIVIDUAL PROVIDER NUMBE |
6 | 043527497 | OTHER | MASSACHUSETTS | AETNA GROUP |
7 | 043527497 | OTHER | MASSACHUSETTS | UNICARE/GIC |
8 | 043527497 | OTHER | MASSACHUSETTS | GREATWEST |
9 | 103355100 | OTHER | MASSACHUSETTS | DEPT OF LABOR |
10 | 130006803MA02 | OTHER | | ANTHEM BC BS |
11 | 28117 | OTHER | MASSACHUSETTS | HEALTH NEW ENGLAND |
12 | P00404365 | OTHER | | PALMETTO RR MEDICARE |
13 | 0799947 | MEDICAID | MASSACHUSETTS | |
14 | 690675 | OTHER | MASSACHUSETTS | TUFTS GROUP |
15 | 6187191 | OTHER | MASSACHUSETTS | CIGNA INDIVIDUAL NO. |
16 | 494429 | OTHER | MASSACHUSETTS | TUFTS INDIVIDUAL NO |
17 | PT0191 | MEDICARE ID-TYPE UNSPECIFIED | MASSACHUSETTS | GROUP PROVIDER NUMBER |
18 | 000000035323 | OTHER | MASSACHUSETTS | BOSTON MEDICAL HEALTH NET INDIVIDUAL NO. |
19 | 7346751 | OTHER | MASSACHUSETTS | AETNA INDIVIDUAL NO. |
20 | 000000035264 | OTHER | MASSACHUSETTS | BOSTON MEDICAL HEALTH NET GROUP NO. |
21 | 043527497 | OTHER | MASSACHUSETTS | CONSOLIDATED |
22 | 130006803MA01 | OTHER | | ANTHEM BC BS |
23 | 9715568 | MEDICAID | MASSACHUSETTS | |
24 | 4510980001 | MEDICARE NSC | MASSACHUSETTS | |
25 | 043527 | OTHER | MASSACHUSETTS | CONNECTICARE |
26 | 043527497 | OTHER | MASSACHUSETTS | PIONEER |
27 | 043527497 | OTHER | MASSACHUSETTS | UNITED HEALTH CARE |
28 | 4510980002 | MEDICARE NSC | MASSACHUSETTS | |