Individual provider Active NPI

Elena Sofia Spriet, OTD, OTR/L, CKTP

  • Pediatric Occupational Therapist
  • Medford, MA
National Provider Identifier
1053800219
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
14638 Issued in MA
Practice address
38 Norwich Cir
Medford, MA 02155-1440
Phone
(952) 452-6723
NPI assigned
May 3, 2018
Last updated
Feb 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 14638 MA Primary

Addresses

Primary practice location

38 Norwich Cir
Medford, MA 02155-1440

Mailing address

38 Norwich Cir
Medford, MA 02155-1440

Other practice location 1

829 SW Lemans Ln
Lees Summit, MO 64082-4618
Phone (816) 446-9018

Other practice location 2

9012 Q St
Omaha, NE 68127-3549
Phone (402) 913-2320

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

LicenseStateTypeSpecialty
14638MAMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1525305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1053800219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 NORWICH CIR",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021551440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 NORWICH CIR",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021551440",
            "telephone_number": "952-452-6723"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "829 SW Lemans Ln",
            "address_purpose": "LOCATION",
            "city": "Lees Summit",
            "state": "MO",
            "postal_code": "640824618",
            "country_code": "US",
            "telephone_number": "816-446-9018",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9012 Q St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681273549",
            "country_code": "US",
            "telephone_number": "402-913-2320",
            "fax_number": "402-559-5737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPRIET",
        "first_name": "ELENA",
        "middle_name": "SOFIA",
        "credential": "OTD, OTR/L, CKTP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-03",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MA",
            "license": "14638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; 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.