Active NPI
Starr Patricia Leary, OTRL
- Occupational Therapist
- Brookline, MA
National Provider Identifier
1194941252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 8172
- Practice address
- 200 Ivy Street
Brookline, MA 02446 - Phone
- (617) 732-0230
- NPI assigned
- Apr 17, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 8172 | MA | Primary |
Addresses
Primary practice location
200 Ivy Street
Brookline, MA 02446
Mailing address
60 Glen Devin Street
Amesbury, MA 01913
Phone (978) 388-5730
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0700975 | Medicaid | MA |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194941252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 GLEN DEVIN STREET",
"city": "AMESBURY",
"state": "MA",
"postal_code": "01913",
"telephone_number": "978-388-5730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 IVY STREET",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "02446",
"telephone_number": "617-732-0230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEARY",
"first_name": "STARR",
"middle_name": "PATRICIA",
"name_prefix": "Mrs.",
"credential": "OTRL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "8172",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0700975",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brookline, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.