Active NPI
Nina Talayco, MS OTRL
- Pediatric Occupational Therapist
- Watertown, MA
National Provider Identifier
1194863761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 9216
- Practice address
- 124 Watertown St
Watertown, MA 02472-2576 - Phone
- (617) 923-4410
- Fax
- (617) 923-0468
- NPI assigned
- Feb 3, 2007
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 9216 | MA | Primary |
Addresses
Primary practice location
124 Watertown St
Watertown, MA 02472-2576
Mailing address
30 Miland Ave
Chelmsford, MA 01824-2249
Phone (978) 251-4345
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9216 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231804800000",
"number": "1194863761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 MILAND AVE",
"city": "CHELMSFORD",
"state": "MA",
"postal_code": "018242249",
"telephone_number": "978-251-4345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 WATERTOWN ST",
"city": "WATERTOWN",
"state": "MA",
"postal_code": "024722576",
"telephone_number": "617-923-4410",
"fax_number": "617-923-0468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TALAYCO",
"first_name": "NINA",
"credential": "MS OTRL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-03",
"last_updated": "2009-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "MA",
"license": "9216",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Watertown, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.