Active NPI
Michael Masse, OT
- Occupational Therapist
- Norwich, NY
National Provider Identifier
1255537437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 005829-1
- Practice address
- 6142 State Highway 12
Norwich, NY 13815-3536 - Phone
- (607) 337-4227
- NPI assigned
- Jun 25, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 005829-1 | NY | Primary |
Addresses
Primary practice location
6142 State Highway 12
Norwich, NY 13815-3536
Mailing address
767 County Highway 10a
Norwich, NY 13815
Phone (607) 335-9101
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005829 | NY | MD | Mental Health Counselor |
| 005829-1 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1255537437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "767 COUNTY HIGHWAY 10A",
"city": "NORWICH",
"state": "NY",
"postal_code": "13815",
"telephone_number": "607-335-9101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6142 STATE HIGHWAY 12",
"city": "NORWICH",
"state": "NY",
"postal_code": "138153536",
"telephone_number": "607-337-4227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASSE",
"first_name": "MICHAEL",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "005829-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norwich, NY
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.