Individual provider Active NPI

Brenda Grace Chouinard

  • Occupational Therapy Assistant
  • Harwich, MA
National Provider Identifier
1194365783
Registry record updated Jan 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
530343 Issued in MA
Practice address
21 Buttonwood Rd
Harwich, MA 02645-1825
Phone
(413) 219-9137
NPI assigned
Jan 10, 2020
Last updated
Jan 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 530343 MA Primary

Addresses

Primary practice location

21 Buttonwood Rd
Harwich, MA 02645-1825

Mailing address

21 Buttonwood Rd
Harwich, MA 02645-1825
Phone (413) 219-9137

Electronic endpoints 6

TypeEndpointUseAffiliation
Direct Messaging Address bchouinard@lathamcenters.org
Other URL bchouinard@lathamcenters.org
CONNECT URL Harwich
CONNECT URL Harwich
Direct Messaging Address bchouinard@lathamcenters.org
Other URL bchouinard@lathamcenters.org

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

LicenseStateTypeSpecialty
530343MAMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1578614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578614400000",
    "number": "1194365783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 BUTTONWOOD RD",
            "city": "HARWICH",
            "state": "MA",
            "postal_code": "026451825",
            "telephone_number": "413-219-9137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 BUTTONWOOD RD",
            "city": "HARWICH",
            "state": "MA",
            "postal_code": "026451825",
            "telephone_number": "413-219-9137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOUINARD",
        "first_name": "BRENDA",
        "middle_name": "GRACE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-10",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MA",
            "license": "530343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bchouinard@lathamcenters.org",
            "affiliation": "N",
            "address_1": "21 Buttonwood Rd",
            "city": "Harwich",
            "state": "MA",
            "country_code": "US",
            "postal_code": "026451825",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "bchouinard@lathamcenters.org",
            "affiliation": "N",
            "address_1": "21 Buttonwood Rd",
            "city": "Harwich",
            "state": "MA",
            "country_code": "US",
            "postal_code": "026451825",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Harwich",
            "affiliation": "N",
            "address_1": "21 Buttonwood Rd",
            "city": "Harwich",
            "state": "MA",
            "country_code": "US",
            "postal_code": "026451825",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Harwich",
            "affiliation": "N",
            "address_1": "21 Buttonwood Rd",
            "city": "Harwich",
            "state": "MA",
            "country_code": "US",
            "postal_code": "026451825",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bchouinard@lathamcenters.org",
            "affiliation": "N",
            "address_1": "21 Buttonwood Rd",
            "city": "Harwich",
            "state": "MA",
            "country_code": "US",
            "postal_code": "026451825",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "bchouinard@lathamcenters.org",
            "affiliation": "N",
            "address_1": "21 Buttonwood Rd",
            "city": "Harwich",
            "state": "MA",
            "country_code": "US",
            "postal_code": "026451825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Harwich, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.

Verify at the official NPI Registry.