Judith Andersen, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

2708 Issued in MA

Practice address

265 Main St
Dalton, MA 01226-1614

Phone

(413) 684-3212

NPI assigned

May 19, 2011

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 19, 2011.

{
    "created_epoch": "1305763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305763200000",
    "number": "1205129491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 MAIN ST",
            "city": "DALTON",
            "state": "MA",
            "postal_code": "012261614",
            "telephone_number": "413-684-3212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 MAIN ST",
            "city": "DALTON",
            "state": "MA",
            "postal_code": "012261614",
            "telephone_number": "413-684-3212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSEN",
        "first_name": "JUDITH",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-19",
        "last_updated": "2011-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MA",
            "license": "2708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prerna Aggarwal, DDS
• Berkshire County Arc, Inc.
• Berkshire Health Systems
• Berkshire Psychology Associates, LLC
• John F Burnham Jr., MD
• J Patrick Carsell, D.D.S.

• All providers in Dalton, MA
• Occupational Therapy Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2011; 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.