Active NPI
Blake Quinn, OTR/L
- Occupational Therapist
- Peabody, MA
National Provider Identifier
1144909466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 14943
- Practice address
- 96 Forest St
Peabody, MA 01960-3907 - Phone
- (978) 532-0303
- NPI assigned
- Jul 13, 2023
- 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 | 14943 | MA | Primary |
Addresses
Primary practice location
96 Forest St
Peabody, MA 01960-3907
Mailing address
14002 Mosaic Nook
Richmond, VA 23238-1101
Phone (804) 929-7723
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 |
|---|---|---|---|
| 14943 | MA | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689206400000",
"number": "1144909466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14002 MOSAIC NOOK",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232381101",
"telephone_number": "804-929-7723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "96 FOREST ST",
"city": "PEABODY",
"state": "MA",
"postal_code": "019603907",
"telephone_number": "978-532-0303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINN",
"first_name": "BLAKE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-13",
"last_updated": "2023-07-13",
"certification_date": "2023-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "14943",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peabody, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.