Individual provider Active NPI

Nicki Traute Azoff, OT

  • Pediatric Occupational Therapist
  • Framingham, MA
National Provider Identifier
1265651640
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
2174 Issued in MA
Practice address
61 Nicholas Rd
Suite 10a
Framingham, MA 01701-3498
Phone
(508) 877-5525
Fax
(508) 877-6997
NPI assigned
Apr 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 2174 MA Primary

Addresses

Primary practice location

61 Nicholas Rd
Suite 10a
Framingham, MA 01701-3498

Mailing address

5 Saxony Dr
Sudbury, MA 01776-2123
Phone (978) 443-3537

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
2174MAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265651640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 SAXONY DR",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "017762123",
            "telephone_number": "978-443-3537",
            "fax_number": "978-261-5147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 NICHOLAS RD",
            "address_2": "SUITE 10A",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017013498",
            "telephone_number": "508-877-5525",
            "fax_number": "508-877-6997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZOFF",
        "first_name": "NICKI",
        "middle_name": "TRAUTE",
        "name_prefix": "Mrs.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MA",
            "license": "2174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Framingham, 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.

Verify at the official NPI Registry.