Active NPI
Neil Evan Roy, COTA/L
- Occupational Therapy Assistant
- Holyoke, MA
National Provider Identifier
1114498557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 4424
- Practice address
- 110 Cherry St
Holyoke, MA 01040-7002 - Phone
- (413) 538-4184
- Fax
- (413) 538-4183
- NPI assigned
- Dec 11, 2018
- Sex
- Male
- 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 Therapy Assistant | 224Z00000X | 4424 | MA | Primary |
Addresses
Primary practice location
110 Cherry St
Holyoke, MA 01040-7002
Mailing address
36 Massachusetts Ave
Chicopee, MA 01013-3945
Phone (413) 626-7876
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4424 | MA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544486400000",
"number": "1114498557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 MASSACHUSETTS AVE",
"city": "CHICOPEE",
"state": "MA",
"postal_code": "010133945",
"telephone_number": "413-626-7876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 CHERRY ST",
"city": "HOLYOKE",
"state": "MA",
"postal_code": "010407002",
"telephone_number": "413-538-4184",
"fax_number": "413-538-4183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROY",
"first_name": "NEIL",
"middle_name": "EVAN",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-12-11",
"last_updated": "2018-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "MA",
"license": "4424",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holyoke, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.