Active NPI
Charles J Deveikas Jr., OTR/L, CHT
- Hand Occupational Therapist
- Arlington, MA
National Provider Identifier
1306020466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- 4085
- 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
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 |
|---|---|---|---|---|
| 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
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upper Hand Therapy & Training, LLC | Hand | Current | 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.