Active NPI
Maria Tsvetkov, OTR
- Occupational Therapist
- Cambridge, MA
National Provider Identifier
1306113626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 10425
- Practice address
- 270 Green St
Elder Service Program
Cambridge, MA 02139-3312 - Phone
- (617) 575-5842
- NPI assigned
- Dec 1, 2011
- 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 | 10425 | MA | Primary |
Addresses
Primary practice location
270 Green St
Elder Service Program
Cambridge, MA 02139-3312
Mailing address
270 Green St
Elder Service Program
Cambridge, MA 02139-3312
Phone (617) 575-5842
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 283177 | Other | NBCOT (NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY) | |
| 10425 | Other | MA | COMMONWEALTH OF MASSACHUSETTS DIVISION OF PROFESSIONAL LICENSURE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322697600000",
"number": "1306113626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "270 GREEN ST",
"address_2": "ELDER SERVICE PROGRAM",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021393312",
"telephone_number": "617-575-5842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "270 GREEN ST",
"address_2": "ELDER SERVICE PROGRAM",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021393312",
"telephone_number": "617-575-5842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TSVETKOV",
"first_name": "MARIA",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-01",
"last_updated": "2011-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "10425",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NBCOT (NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY)",
"identifier": "283177",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMONWEALTH OF MASSACHUSETTS DIVISION OF PROFESSIONAL LICENSURE",
"identifier": "10425",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.