Active NPI
Nury Carreno, OTR
- Occupational Therapist
- Concord, MA
National Provider Identifier
1235340282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5121
- Practice address
- 80 Deaconess Rd
Concord, MA 01742-4113 - Phone
- (508) 487-7090
- NPI assigned
- May 24, 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 | 5121 | MA | Primary |
Addresses
Primary practice location
80 Deaconess Rd
Concord, MA 01742-4113
Mailing address
204 Lund Farm Way
Brewster, MA 02631-1923
Phone (508) 896-4366
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 |
|---|---|---|---|
| 5121 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235340282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 LUND FARM WAY",
"city": "BREWSTER",
"state": "MA",
"postal_code": "026311923",
"telephone_number": "508-896-4366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 DEACONESS RD",
"city": "CONCORD",
"state": "MA",
"postal_code": "017424113",
"telephone_number": "508-487-7090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARRENO",
"first_name": "NURY",
"name_prefix": "Ms.",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "5121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concord, 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.