NPIMap

Organization Active NPI

Excel Orthopaedic Specialists Inc

  • Occupational Therapist
  • Woburn, MA
National Provider Identifier
1104033836
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
EXCEL ORTHOPAEDIC SPECIALISTS INC
Practice address
200 Unicorn Park Dr Ste 201
Woburn, MA 01801-3342
Phone
(781) 782-1300
Fax
(781) 782-1350
NPI assigned
May 16, 2007
Organization subpart
Yes
Parent organization
EXCEL ORTHOPAEDIC SPECIALISTS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Authorized official

Name
Karen Ianniciello
Title
Credentialing Coordinator
Phone
(781) 782-1300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

200 Unicorn Park Dr Ste 201
Woburn, MA 01801-3342

Mailing address

200 Unicorn Park Dr Ste 201
Woburn, MA 01801-3342
Phone (781) 782-1300

Other identifiers 1

IdentifierTypeStateIssuer
OG0008OtherMABLUE SHIELD GROUP NUMBER

Other names 1

  • Excel Orthopedic OT Other name

National Provider Directory

National Provider Directory
Tax ID family
Barry C Dorn MD PC2 organizations share this tax ID, including this one
Part of
Barry C Dorn MD PC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 52

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 52

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779840000000",
    "number": "1104033836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 UNICORN PARK DR STE 201",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018013342",
            "telephone_number": "781-782-1300",
            "fax_number": "781-782-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 UNICORN PARK DR STE 201",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018013342",
            "telephone_number": "781-782-1300",
            "fax_number": "781-782-1350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL ORTHOPAEDIC SPECIALISTS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EXCEL ORTHOPAEDIC SPECIALISTS INC",
        "enumeration_date": "2007-05-16",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A",
        "authorized_official_last_name": "IANNICIELLO",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "781-782-1300"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD GROUP NUMBER",
            "identifier": "OG0008",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Excel Orthopedic OT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Woburn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; 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.