Active NPI
Integrated Mind & Body, LLC
- Occupational Therapist
- Boston, MA
National Provider Identifier
1073817623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 416
- 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, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Ann Marie Turo, OTR/L
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0351059 | Medicaid | MA | |
| OG0017 | Medicaid | MA |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Occupational Therapist
- Boston, MA
- NPI 1235285875
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.