Individual provider Active NPI

Annelise Pfeiffer, OT/R

  • Occupational Therapist
  • Kingston, MA
National Provider Identifier
1063180289
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
13742 Issued in MA
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

Updated by the provider on Sep 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
13742MAMDOccupational 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.

Verify at the official NPI Registry.