Active NPI
Annelise Pfeiffer, OT/R
- Occupational Therapist
- Kingston, MA
National Provider Identifier
1063180289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 13742
- Practice address
- 17 Chipman Way # 1039
Kingston, MA 02364-1039 - Phone
- (781) 585-4100
- NPI assigned
- Sep 1, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 13742 | MA | Primary |
Addresses
Primary practice location
17 Chipman Way # 1039
Kingston, MA 02364-1039
Mailing address
4310 Forest Hill Dr
Fairfax, VA 22030-5680
Phone (847) 441-5593
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Annelise.pfeiffer@selectrehab.com | Select Rehabilitation, LLC |
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 |
|---|---|---|---|
| 13742 | MA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630454400000",
"number": "1063180289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4310 FOREST HILL DR",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220305680",
"telephone_number": "847-441-5593",
"fax_number": "847-441-4130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 CHIPMAN WAY # 1039",
"city": "KINGSTON",
"state": "MA",
"postal_code": "023641039",
"telephone_number": "781-585-4100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PFEIFFER",
"first_name": "ANNELISE",
"credential": "OT/R",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-01",
"last_updated": "2021-09-01",
"certification_date": "2020-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "MA",
"license": "13742",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Annelise.pfeiffer@selectrehab.com",
"affiliation": "Y",
"affiliationName": "Select Rehabilitation, LLC",
"address_1": "17 Chipman Way # 1039",
"city": "Kingston",
"state": "MA",
"country_code": "US",
"postal_code": "023641039",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kingston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.