Active NPI
Debora Monteiro Magalhaes
- Community/Behavioral Health Agency
- Ashland, MA
National Provider Identifier
1063073864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 13142
- Practice address
- 100 Waverly St
Ste 103
Ashland, MA 01721 - Phone
- (508) 309-7134
- NPI assigned
- Jun 24, 2019
- Reactivated
- Nov 18, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 13142 | MA | Primary |
| Pediatric Occupational Therapist | 225XP0200X | 13142 | MA |
Addresses
Primary practice location
100 Waverly St
Ste 103
Ashland, MA 01721
Mailing address
100 Waverly St
Ste 103
Ashland, MA 01721
Phone (774) 279-1449
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 |
|---|---|---|---|
| 13142 | MA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kids in Motion Therapy Center, Inc. | Current | Accepting new patients |
Locations
100 Waverly St
Ste 103
Ashland, MA 01721
Phone (508) 309-7134
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Occupational Therapist
- Ashland, MA
- NPI 1811664717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637539200000",
"number": "1063073864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 WAVERLY ST",
"address_2": "STE 103",
"city": "ASHLAND",
"state": "MA",
"postal_code": "01721",
"telephone_number": "774-279-1449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 WAVERLY ST",
"address_2": "STE 103",
"city": "ASHLAND",
"state": "MA",
"postal_code": "01721",
"telephone_number": "508-309-7134"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGALHAES",
"first_name": "DEBORA",
"middle_name": "MONTEIRO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-24",
"last_updated": "2021-11-22",
"certification_date": "2021-11-22",
"deactivation_date": "2021-10-28",
"reactivation_date": "2021-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "MA",
"license": "13142",
"primary": true
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "MA",
"license": "13142",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ashland, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.