Active NPI
Elena Sofia Spriet, OTD, OTR/L, CKTP
- Pediatric Occupational Therapist
- Medford, MA
National Provider Identifier
1053800219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 14638
- Practice address
- 38 Norwich Cir
Medford, MA 02155-1440 - Phone
- (952) 452-6723
- NPI assigned
- May 3, 2018
- Last updated
- Feb 28, 2025
- 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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 14638 | MA | MD | Pediatric 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.