Organization Active NPI

Integrated Mind & Body, LLC

  • Occupational Therapist
  • Boston, MA
National Provider Identifier
1073817623
Registry record updated Dec 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
416 Issued in MA
Legal business name
INTEGRATED MIND & BODY, LLC
Practice address
26 Cumberland St
Boston, MA 02115-5306
Phone
(781) 622-0515
Fax
(857) 277-1921
NPI assigned
Dec 22, 2010
Last updated
Dec 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2010

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

Authorized official

Name
Ms. Ann Marie Turo, OTR/LNPI 1235285875
Title
Owner
Phone
(781) 622-0515

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X 416 MA Primary

Addresses

Primary practice location

26 Cumberland St
Boston, MA 02115-5306

Mailing address

304 Columbus Ave
Boston, MA 02116-5116
Phone (781) 622-0515

Other identifiers 2

IdentifierTypeStateIssuer
0351059MedicaidMA
OG0017MedicaidMA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1292976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292976000000",
    "number": "1073817623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 COLUMBUS AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021165116",
            "telephone_number": "781-622-0515",
            "fax_number": "857-277-1921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 CUMBERLAND ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155306",
            "telephone_number": "781-622-0515",
            "fax_number": "857-277-1921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED MIND & BODY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-22",
        "last_updated": "2010-12-22",
        "status": "A",
        "authorized_official_last_name": "TURO",
        "authorized_official_first_name": "ANN MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-622-0515",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0351059",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OG0017",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2010; 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.