Active NPI
Michele Didio, C.O.T.A.
- Occupational Therapy Assistant
- Boxborough, MA
National Provider Identifier
1124441597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 882
- Practice address
- 61 Cortland LN
Boxborough, MA 01719-2014 - Phone
- (716) 228-5260
- NPI assigned
- Jan 21, 2014
- Last updated
- Jan 21, 2014
- 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 |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 882 | MA | Primary |
Addresses
Primary practice location
61 Cortland LN
Boxborough, MA 01719-2014
Mailing address
61 Cortland LN
Boxborough, MA 01719-2014
Phone (716) 228-5260
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 |
|---|---|---|---|
| 882 | MA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390262400000",
"number": "1124441597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 CORTLAND LN",
"city": "BOXBOROUGH",
"state": "MA",
"postal_code": "017192014",
"telephone_number": "716-228-5260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61 CORTLAND LN",
"city": "BOXBOROUGH",
"state": "MA",
"postal_code": "017192014",
"telephone_number": "716-228-5260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIDIO",
"first_name": "MICHELE",
"credential": "C.O.T.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-21",
"last_updated": "2014-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "MA",
"license": "882",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boxborough, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.