Active NPI
Denise Chrystine Peralta, OTR/L
- Low Vision Occupational Therapist
- Worcester, MA
National Provider Identifier
1114118734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Low Vision Occupational Therapist
- License
- 4105
- Practice address
- 799 W Boylston St
Mab Community Services
Worcester, MA 01606-3071 - Phone
- (508) 854-0700
- NPI assigned
- Aug 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Low Vision Occupational Therapist | 225XL0004X | 4105 | MA | Primary |
Addresses
Primary practice location
799 W Boylston St
Mab Community Services
Worcester, MA 01606-3071
Mailing address
799 W Boylston St
Mab Community Services
Worcester, MA 01606-3071
Phone (508) 854-0700
Other names 1
- Ms. Chrys Peralta
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
799 W Boylston St
Suite 7
Worcester, MA 01606-3071
Phone (585) 854-0700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4105 | MA | MD | Mental Health Counselor |
Organizations & group practices 1
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.
-
- Rehabilitation Practitioner
- Worcester, MA
- NPI 1821129982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395619200000",
"number": "1114118734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "799 W BOYLSTON ST",
"address_2": "MAB COMMUNITY SERVICES",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016063071",
"telephone_number": "508-854-0700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "799 W BOYLSTON ST",
"address_2": "MAB COMMUNITY SERVICES",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016063071",
"telephone_number": "508-854-0700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERALTA",
"first_name": "DENISE",
"middle_name": "CHRYSTINE",
"name_prefix": "Ms.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-08",
"last_updated": "2014-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "225XL0004X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Low Vision",
"state": "MA",
"license": "4105",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHRYS",
"last_name": "PERALTA",
"prefix": "MS.",
"credential": "OTR/L",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2014; 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.