Active NPI
Sheila Moran
- Occupational Therapist
- Everett, MA
National Provider Identifier
1295278661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 12010
- Practice address
- 106 Wyllis Ave
Everett, MA 02149-1142 - Phone
- (617) 381-6248
- NPI assigned
- Dec 2, 2016
- 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 | 12010 | MA | Primary |
Addresses
Primary practice location
106 Wyllis Ave
Everett, MA 02149-1142
Mailing address
14 South St
Stoneham, MA 02180-2827
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 |
|---|---|---|---|
| 12010 | MA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Preferred Therapy Services, LLC | Past | Accepting new patients | |
| Preferred Therapy Services, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Alzheimer Center (Dementia Center)
- Everett, MA
- NPI 1295278737
-
- Rehabilitation Clinic/Center
- Webster, MA
- NPI 1861883613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480636800000",
"number": "1295278661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 SOUTH ST",
"city": "STONEHAM",
"state": "MA",
"postal_code": "021802827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 WYLLIS AVE",
"city": "EVERETT",
"state": "MA",
"postal_code": "021491142",
"telephone_number": "617-381-6248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORAN",
"first_name": "SHEILA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-12-02",
"last_updated": "2016-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "12010",
"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 Dec 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.