Individual provider Active NPI

Gabrielle Mele-Algus

  • Occupational Therapist
  • Somerville, MA
National Provider Identifier
1245762905
Registry record updated Mar 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
12140 Issued in MA
Practice address
48 Raymond Ave
Apt 2
Somerville, MA 02144-1210
Phone
(802) 779-8554
NPI assigned
Mar 31, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 12140 MA Primary

Addresses

Primary practice location

48 Raymond Ave
Apt 2
Somerville, MA 02144-1210

Mailing address

48 Raymond Ave
Apt 2
Somerville, MA 02144-1210
Phone (802) 779-8554

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

LicenseStateTypeSpecialty
12140MAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1490918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490918400000",
    "number": "1245762905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 RAYMOND AVE",
            "address_2": "APT 2",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021441210",
            "telephone_number": "802-779-8554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 RAYMOND AVE",
            "address_2": "APT 2",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021441210",
            "telephone_number": "802-779-8554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELE-ALGUS",
        "first_name": "GABRIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-31",
        "last_updated": "2017-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "12140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerville, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2017; 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.