Grace Petronella, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

006199-1 Issued in NY

Practice address

400 W Cummings Park
Suite 3950
Woburn, MA 01801-6519

Phone

(800) 451-9101

Fax

(781) 933-2828

NPI assigned

May 9, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566518400000",
    "number": "1043424351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 VOSHAGE RD",
            "city": "PINE BUSH",
            "state": "NY",
            "postal_code": "125665220",
            "telephone_number": "845-784-2996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W CUMMINGS PARK",
            "address_2": "SUITE 3950",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018016519",
            "telephone_number": "800-451-9101",
            "fax_number": "781-933-2828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 Voshage Rd",
            "address_purpose": "LOCATION",
            "city": "Pine Bush",
            "state": "NY",
            "postal_code": "125665220",
            "country_code": "US",
            "telephone_number": "845-784-2996",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETRONELLA",
        "first_name": "GRACE",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2019-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "006199-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Perry, M.S., BCBA
• Grace Adams Peters
• Karen Peters, LMT CLD CPD CCBE CBE
• Stephanie Anne Peters, OTR/L
• Abby Peterson
• Sarah Petteys, M.D.
• Lisa Pezzella
• Lakeisha Pham
• Natalie Maridee Phat
• Kristen Phelps, BCBA, LABA

• Occupational Therapist in Woburn, MA
• Providers in Woburn, MA by specialty
• Occupational Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.