Active NPI
Talia Yocheved Lusterman, OTR/L
- Occupational Therapist
- Lowell, MA
National Provider Identifier
1023643368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2888
- Practice address
- 1071 Varnum Ave
Lowell, MA 01854-1131 - Phone
- (978) 446-1862
- NPI assigned
- Mar 6, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2888 | NH | Primary |
Addresses
Primary practice location
1071 Varnum Ave
Lowell, MA 01854-1131
Mailing address
2 Maple Ridge Dr Unit 12
Merrimack, NH 03054-7201
Phone (516) 503-7449
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2888 | NH | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583452800000",
"number": "1023643368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 MAPLE RIDGE DR UNIT 12",
"city": "MERRIMACK",
"state": "NH",
"postal_code": "030547201",
"telephone_number": "516-503-7449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1071 VARNUM AVE",
"city": "LOWELL",
"state": "MA",
"postal_code": "018541131",
"telephone_number": "978-446-1862"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUSTERMAN",
"first_name": "TALIA",
"middle_name": "YOCHEVED",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-06",
"last_updated": "2020-03-06",
"certification_date": "2020-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NH",
"license": "2888",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lowell, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.