Cobblestones LLC

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Legal business name

COBBLESTONES LLC

Practice address

85 River St
Waltham, MA 02453-8300

Phone

(781) 609-2514

NPI assigned

Mar 2, 2015

Last updated

Mar 2, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Nicole CroakNPI 1780074625

Title

Occupational Therapist

Phone

(781) 609-2514

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nicole Blendina Croak, OTR/L

  • Occupational Therapist
  • Waltham, MA
  • NPI 1780074625
  Authorized official Same address or phone

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

{
    "created_epoch": "1425254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425254400000",
    "number": "1205228111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 RIVER ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024538300",
            "telephone_number": "781-609-2514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 RIVER ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024538300",
            "telephone_number": "781-609-2514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COBBLESTONES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-02",
        "last_updated": "2015-03-02",
        "status": "A",
        "authorized_official_last_name": "CROAK",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "781-609-2514",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Clark
• Clearhaven Recovery Center
• Roya Leigh Clements, PA-C
• Clinical Therapeutic Support LCSW PC
• Will G Co, PHARM D
• Elaine Coggins, LICSW
• Ainsley Cohen
• Diane Alaine Cohen, LICSW
• Jennifer Colborn, RN
• Elizabeth Mary Cole, PT CLT-LANA

• Pediatric Occupational Therapist in Waltham, MA
• Providers in Waltham, MA by specialty
• Pediatric Occupational Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2015; 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.