Active NPI
Afia Ayiwa-Mensah, OTR/L
- Physical Disabilities Residential Treatment Facility
- Springfield, MA
National Provider Identifier
1225588494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Disabilities Residential Treatment Facility
- License
- 12112
- Practice address
- 58 Savoy Ave
Springfield, MA 01104-2008 - Phone
- (413) 777-1468
- NPI assigned
- Oct 11, 2016
- 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 |
|---|---|---|---|---|
| Physical Disabilities Residential Treatment Facility | 320700000X | 12112 | MA | Primary |
Addresses
Primary practice location
58 Savoy Ave
Springfield, MA 01104-2008
Mailing address
58 Savoy Ave
Springfield, MA 01104-2008
Phone (413) 777-1468
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12112 | Other | MA | ALLIED HEALTH PROFESSIONALS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12112 | MA | MD | Physical Disabilities Residential Treatment Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476144000000",
"number": "1225588494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58 SAVOY AVE",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011042008",
"telephone_number": "413-777-1468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58 SAVOY AVE",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011042008",
"telephone_number": "413-777-1468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AYIWA-MENSAH",
"first_name": "AFIA",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-11",
"last_updated": "2016-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "320700000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Physical Disabilities",
"state": "MA",
"license": "12112",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALLIED HEALTH PROFESSIONALS",
"identifier": "12112",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.