Individual provider Active NPI

Anastasia Garruss, OTR/L

  • Pediatric Occupational Therapist
  • Newton, MA
National Provider Identifier
1306146337
Registry record updated Apr 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
11050 Issued in MA
Practice address
200 Walnut St
Newton, MA 02460-1691
Phone
(913) 523-6958
NPI assigned
Oct 25, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 11050 MA Primary

Addresses

Primary practice location

200 Walnut St
Newton, MA 02460-1691

Mailing address

381 Western Ave Apt 3
Cambridge, MA 02139-3740
Phone (913) 523-6958

Other names 1

  • Asia Nuss Other name

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": "1287964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523923200000",
    "number": "1306146337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 WESTERN AVE APT 3",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021393740",
            "telephone_number": "913-523-6958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WALNUT ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024601691",
            "telephone_number": "913-523-6958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRUSS",
        "first_name": "ANASTASIA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-25",
        "last_updated": "2018-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MA",
            "license": "11050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASIA",
            "last_name": "NUSS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Newton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.