Active NPI
Elisabeth Darmetko
- Occupational Therapist
- Fall River, MA
National Provider Identifier
1063074763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 13524
- Practice address
- 1748 Highland Ave
Fall River, MA 02720-4305 - Phone
- (508) 730-1070
- NPI assigned
- Jul 2, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Occupational Therapist | 225X00000X | 13524 | MA | Primary |
Addresses
Primary practice location
1748 Highland Ave
Fall River, MA 02720-4305
Mailing address
325 Plymouth St
Whitman, MA 02382-1628
Other practice location 1
444 Center St
Manchester, CT 06040-3926
Phone (860) 646-3888
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13524 | MA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609372800000",
"number": "1063074763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 PLYMOUTH ST",
"city": "WHITMAN",
"state": "MA",
"postal_code": "023821628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1748 HIGHLAND AVE",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027204305",
"telephone_number": "508-730-1070"
}
],
"practiceLocations": [
{
"address_1": "444 Center St",
"address_purpose": "LOCATION",
"city": "Manchester",
"state": "CT",
"postal_code": "060403926",
"country_code": "US",
"telephone_number": "860-646-3888",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DARMETKO",
"first_name": "ELISABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-02",
"last_updated": "2020-12-31",
"certification_date": "2020-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "13524",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fall River, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.