NPIMap

Organization Active NPI

The Living Tree

  • Clinic/Center
  • Athol, MA
National Provider Identifier
1205604733
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
THE LIVING TREE
Practice address
2270 Main St
Athol, MA 01331
Phone
(978) 906-1254
NPI assigned
Dec 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Authorized official

Name
Charlene E Costa, OTR/LNPI 1639947161
Title
Owner/President
Phone
(978) 906-1254

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2270 Main St
Athol, MA 01331

Mailing address

58 Northern Ave
Athol, MA 01331
Phone (978) 906-1254

National Provider Directory

National Provider Directory

Locations

2270 Main St
Athol, MA 01331
Phone (978) 906-1254

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1702512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702512000000",
    "number": "1205604733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 NORTHERN AVE",
            "city": "ATHOL",
            "state": "MA",
            "postal_code": "01331",
            "telephone_number": "978-906-1254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2270 MAIN ST",
            "city": "ATHOL",
            "state": "MA",
            "postal_code": "01331",
            "telephone_number": "978-906-1254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LIVING TREE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-14",
        "last_updated": "2023-12-14",
        "status": "A",
        "authorized_official_last_name": "COSTA",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "978-906-1254",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athol, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; 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.