NPIMap

Organization Active NPI

Nantucket Therapy LLC

  • Occupational Therapist
  • Nantucket, MA
National Provider Identifier
1114301264
Registry record updated Jul 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
10012 Issued in MA
Legal business name
NANTUCKET THERAPY LLC
Practice address
125 Orange St
Nantucket, MA 02554-4028
Phone
(508) 221-0228
Fax
(508) 796-6262
NPI assigned
Jul 17, 2015
Last updated
Jul 17, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
NANTUCKET THERAPY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 17, 2015

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

Authorized official

Name
Carynne Keyes, MA/CCC-SLPNPI 1467788554
Title
Owner/Director
Phone
(508) 648-8348

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)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 10012 MA Primary

Addresses

Primary practice location

125 Orange St
Nantucket, MA 02554-4028

Mailing address

125 Orange St
Nantucket, MA 02554-4028
Phone (508) 221-0228

National Provider Directory

National Provider Directory
Tax ID family
Nantucket Therapy LLC2 organizations share this tax ID, including this one
Part of
Nantucket Therapy LLC

Other organizations with this tax ID 1

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

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437091200000",
    "number": "1114301264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 ORANGE ST",
            "city": "NANTUCKET",
            "state": "MA",
            "postal_code": "025544028",
            "telephone_number": "508-221-0228",
            "fax_number": "508-796-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 ORANGE ST",
            "city": "NANTUCKET",
            "state": "MA",
            "postal_code": "025544028",
            "telephone_number": "508-221-0228",
            "fax_number": "508-796-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANTUCKET THERAPY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NANTUCKET THERAPY LLC",
        "enumeration_date": "2015-07-17",
        "last_updated": "2015-07-17",
        "status": "A",
        "authorized_official_last_name": "KEYES",
        "authorized_official_first_name": "CARYNNE",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "508-648-8348",
        "authorized_official_credential": "MA/CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "10012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nantucket, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2015; 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.