Active NPI
Annabel M Heeney, O.T.
- Occupational Therapist
- Woburn, MA
National Provider Identifier
1104957463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 8358
- Practice address
- 150 Presidential Way
Suite 110
Woburn, MA 01801-1100 - Phone
- (781) 782-1300
- Fax
- (781) 782-1350
- NPI assigned
- Mar 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 8358 | MA | Primary |
Addresses
Primary practice location
150 Presidential Way
Suite 110
Woburn, MA 01801-1100
Mailing address
200 Unicorn Park Dr
Ste 201
Woburn, MA 01801-3342
Phone (781) 782-1300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8358 | Other | MA | STATE LICENSE NUMBER |
Other names 1
- Annabel M Hampton
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050317000208 | MA | Practitioner - Occupational Therapist in Private Practice | 0446205900 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Unicorn Park Dr
Suite 201
Woburn, MA 01801-3342
Phone (781) 782-1300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8358 | MA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joint Ventures Physical Therapy, Inc. | Occupational Therapist | Current | Accepting new patients |
| Joint Ventures Physical Therapy, Inc. | Occupational Therapist | Current | Accepting new patients |
| Excel Orthopaedic Specialists Inc | Past | Accepting new patients | |
| Excel Orthopaedic Specialists Inc | Occupational Therapist | Past | Accepting new patients |
Locations
648 Beacon St
Boston, MA 02215
Phone (617) 353-9345
204 Worcester St
#200
Wellesley, MA 02481
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Woburn, MA
- NPI 1659349462
MA
-
- Physical Therapy Clinic/Center
- Boston, MA
- NPI 1083667901
MA, Occupational Therapist
-
- Physical Medicine & Rehabilitation Physician
- Cambridge, MA
- NPI 1972149805
Occupational Therapist
-
- Occupational Therapist
- Woburn, MA
- NPI 1104033836
-
- Physical Therapist
- Woburn, MA
- NPI 1578770202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526256000000",
"number": "1104957463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 UNICORN PARK DR",
"address_2": "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": "150 PRESIDENTIAL WAY",
"address_2": "SUITE 110",
"city": "WOBURN",
"state": "MA",
"postal_code": "018011100",
"telephone_number": "781-782-1300",
"fax_number": "781-782-1350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEENEY",
"first_name": "ANNABEL",
"middle_name": "M",
"credential": "O.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-08",
"last_updated": "2018-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "8358",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "8358",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANNABEL",
"last_name": "HAMPTON",
"middle_name": "M",
"credential": "O.T.",
"code": "1",
"type": "Former 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 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.