Anthony Joseph Cornette, AS
Individual provider Active NPI Occupational Therapy Assistant · Lincoln, MA
NPI 1053029322 · NPPES record last updated Nov 7, 2022
Key facts
- NPI
- 1053029322
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 4833 (MA)
- Practice address
- 1 Harvest Cir
Lincoln, MA 01773-3214 - Phone
- (781) 799-2607
- NPI assigned
- Nov 7, 2022
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Associate of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4833 | MA | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant |
224Z00000X | 4833 | MA | Yes |
Addresses
Primary practice location
1 Harvest Cir
Lincoln, MA 01773-3214
Mailing address
28 Farragut Ave
Medford, MA 02155-4012
Phone (781) 799-2607
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All providers in Lincoln, MA · Occupational Therapy Assistant in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 7, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.