Individual provider Active NPI

Elvira L Fulchino, MS.OTR/L

  • Pediatric Occupational Therapist
  • Wellesley Hills, MA
National Provider Identifier
1306173570
Registry record updated Nov 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
8036 Issued in MA
Practice address
49 Walnut St. Building 3
Wellesley Hills, MA 02481
Phone
(781) 239-0100
Fax
(781) 239-0102
NPI assigned
Nov 10, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 104828 MA
Pediatric Occupational Therapist 225XP0200X 8036 MA Primary

Addresses

Primary practice location

49 Walnut St. Building 3
Wellesley Hills, MA 02481

Mailing address

49 Walnut St BLDG 3
Wellesley Hills, MA 02481-2108
Phone (781) 239-0100

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
104828MAMDClinical Social Worker
8036MAMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1257811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257811200000",
    "number": "1306173570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 WALNUT ST BLDG 3",
            "city": "WELLESLEY HILLS",
            "state": "MA",
            "postal_code": "024812108",
            "telephone_number": "781-239-0100",
            "fax_number": "781-239-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 WALNUT ST. BUILDING 3",
            "city": "WELLESLEY HILLS",
            "state": "MA",
            "postal_code": "02481",
            "telephone_number": "781-239-0100",
            "fax_number": "781-239-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULCHINO",
        "first_name": "ELVIRA",
        "middle_name": "L",
        "credential": "MS.OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-10",
        "last_updated": "2009-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "104828",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MA",
            "license": "8036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellesley Hills, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2009; 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.