Individual provider Active NPI

Charles J Deveikas Jr., OTR/L, CHT

  • Hand Occupational Therapist
  • Arlington, MA
National Provider Identifier
1306020466
Registry record updated Jan 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
4085 Issued in MA
Practice address
22 Mill St
Suite 302
Arlington, MA 02476-4784
Phone
(781) 643-7000
Fax
(617) 393-0283
NPI assigned
Dec 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 4085 MA Primary

Addresses

Primary practice location

22 Mill St
Suite 302
Arlington, MA 02476-4784

Mailing address

75 Rutland St
Watertown, MA 02472-2107
Phone (617) 306-5130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040122000690 MA Practitioner - Occupational Therapist in Private Practice 5395647176 Reassigns benefits to 1 organization
Practice locations: Arlington, MA

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upper Hand Therapy and Training, LLCGroup PAC ID 1658746078, 3 clinicians

Practice addresses (Care Compare)

22 Mill St
Arlington, MA 02476-4744
Phone (781) 643-7000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Upper Hand Therapy & Training, LLC Hand CurrentSince Mar 29, 2022 Accepting new patients

Locations

22 Mill St
Ste 302
Arlington, MA 02476
Phone (781) 643-7000

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453680000000",
    "number": "1306020466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 RUTLAND ST",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024722107",
            "telephone_number": "617-306-5130",
            "fax_number": "617-393-0283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 MILL ST",
            "address_2": "SUITE 302",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024764784",
            "telephone_number": "781-643-7000",
            "fax_number": "617-393-0283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVEIKAS",
        "first_name": "CHARLES",
        "middle_name": "J",
        "name_suffix": "Jr.",
        "credential": "OTR/L, CHT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-26",
        "last_updated": "2016-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "MA",
            "license": "4085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.