Active NPI
Elizabeth Churchill
- Occupational Therapist
- Everett, MA
National Provider Identifier
1285859280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5982
- Practice address
- 22 Church St
Everett, MA 02149-2718 - Phone
- (781) 306-4820
- NPI assigned
- Apr 16, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 | 5982 | MA | Primary |
Addresses
Primary practice location
22 Church St
Everett, MA 02149-2718
Mailing address
268 Renfrew St
Arlington, MA 02476-7350
Phone (617) 576-1551
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 |
|---|---|---|---|
| 5982 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285859280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "268 RENFREW ST",
"city": "ARLINGTON",
"state": "MA",
"postal_code": "024767350",
"telephone_number": "617-576-1551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 CHURCH ST",
"city": "EVERETT",
"state": "MA",
"postal_code": "021492718",
"telephone_number": "781-306-4820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHURCHILL",
"first_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "5982",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Everett, 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.