Active NPI
Christa Jacob
- Occupational Therapist
- Braintree, MA
National Provider Identifier
1144850686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 1102 Washington St # 5438
Braintree, MA 02184-5400 - Phone
- (781) 848-3800
- NPI assigned
- Jan 23, 2020
- Sex
- Female
- 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 Therapist | 225X00000X | Primary |
Addresses
Primary practice location
1102 Washington St # 5438
Braintree, MA 02184-5400
Mailing address
1 Woodland CT
Milford, MA 01757-3737
Phone (508) 246-8746
Other practice location 1
305 Walpole St
Norwood, MA 02062-3021
Phone (781) 762-7700
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579737600000",
"number": "1144850686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 WOODLAND CT",
"city": "MILFORD",
"state": "MA",
"postal_code": "017573737",
"telephone_number": "508-246-8746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1102 WASHINGTON ST # 5438",
"city": "BRAINTREE",
"state": "MA",
"postal_code": "021845400",
"telephone_number": "781-848-3800"
}
],
"practiceLocations": [
{
"address_1": "305 Walpole St",
"address_purpose": "LOCATION",
"city": "Norwood",
"state": "MA",
"postal_code": "020623021",
"country_code": "US",
"telephone_number": "781-762-7700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JACOB",
"first_name": "CHRISTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-23",
"last_updated": "2020-01-23",
"certification_date": "2020-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Braintree, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.