Michael Defosse

Primary specialty

Rehabilitation Hospital UnitTaxonomy code 273Y00000X

License

8852 Issued in MA

Legal business name

MICHAEL DEFOSSE

Practice address

1011 Arlington Blvd Apt 1031
Suite 1031
Arlington, VA 22209-2210

Phone

(617) 699-3527

NPI assigned

Mar 13, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Michael S Defosse

Title

Occupational Therapist

Phone

(617) 699-3527

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1457827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457827200000",
    "number": "1124489562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 ARLINGTON BLVD APT 1031",
            "address_2": "SUITE 1031",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222092210",
            "telephone_number": "617-699-3527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 ARLINGTON BLVD APT 1031",
            "address_2": "SUITE 1031",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222092210",
            "telephone_number": "617-699-3527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL DEFOSSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-13",
        "last_updated": "2016-03-13",
        "status": "A",
        "authorized_official_last_name": "DEFOSSE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "617-699-3527",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "MA",
            "license": "8852",
            "primary": true
        },
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "MA",
            "license": "8852",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rehabilitation Hospital Unit in Arlington, VA
• Providers in Arlington, VA by specialty
• Rehabilitation Hospital Unit in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2016; 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.