NPIMap

Individual provider Active NPI

Megan Thunberg

  • Occupational Therapist
  • Forestdale, MA
National Provider Identifier
1073899290
Registry record updated Jul 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
11279 Issued in MA
Practice address
280-D Route 130, Suite 7
Heritage Park Plaza
Forestdale, MA 02644-1140
Phone
(508) 833-1060
Fax
(508) 833-2216
NPI assigned
Nov 2, 2011
Last updated
Jul 3, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 11279 MA Primary

Addresses

Primary practice location

280-D Route 130, Suite 7
Heritage Park Plaza
Forestdale, MA 02644-1140

Mailing address

280-D Route 130, Suite 7
Heritage Park Plaza
Forestdale, MA 02644-1140
Phone (508) 833-1060

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
11279MAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabilitation Hospital of the Cape and Islands, Corporation Past Accepting new patients
Rehabilitation Hospital of Cape & Islands Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1320192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404345600000",
    "number": "1073899290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280-D ROUTE 130, SUITE 7",
            "address_2": "HERITAGE PARK PLAZA",
            "city": "FORESTDALE",
            "state": "MA",
            "postal_code": "026441140",
            "telephone_number": "508-833-1060",
            "fax_number": "508-833-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280-D ROUTE 130, SUITE 7",
            "address_2": "HERITAGE PARK PLAZA",
            "city": "FORESTDALE",
            "state": "MA",
            "postal_code": "026441140",
            "telephone_number": "508-833-1060",
            "fax_number": "508-833-2216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THUNBERG",
        "first_name": "MEGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-02",
        "last_updated": "2014-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "11279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forestdale, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; 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.