Individual provider Active NPI

Sherlyn Louise Fenton, OTD,MS, OTR/L

  • Occupational Therapist
  • Hanover, MA
National Provider Identifier
1326236118
Registry record updated Oct 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2492 Issued in MA
Practice address
965 Washington St Ste 2
Hanover, MA 02339-1614
Phone
(617) 333-8408
Fax
(781) 924-3849
NPI assigned
Oct 5, 2007
Last updated
Oct 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2492 MA Primary

Addresses

Primary practice location

965 Washington St Ste 2
Hanover, MA 02339-1614

Mailing address

965 Washington St Ste 2
Hanover, MA 02339-1614
Phone (617) 333-8408

Other identifiers 4

IdentifierTypeStateIssuer
915892OtherNBCOT CERTIFICATION
S400284607OtherPTAN
OT0055OtherMABCBS
2492OtherMAMA STATE OT LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040426000436 MA Practitioner - Occupational Therapist in Private Practice 6709872542 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Physical TherapyGroup PAC ID 0547645632, 2 clinicians

Practice addresses (Care Compare)

965 Washington St
Hanover, MA 02339-1614
Phone (617) 333-8408

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2492MAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Community Physical Therapy CurrentSince Mar 27, 2022 Accepting new patients
Quality Senior Care PastSince Dec 11, 2015 Accepting new patients

Locations

965 Washington St
Hanover, MA 02339
Phone (617) 333-8408

965 Washington St
Ste 2
Hanover, MA 02339

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792108800000",
    "number": "1326236118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 WASHINGTON ST STE 2",
            "city": "HANOVER",
            "state": "MA",
            "postal_code": "023391614",
            "telephone_number": "617-333-8408",
            "fax_number": "781-924-3849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 WASHINGTON ST STE 2",
            "city": "HANOVER",
            "state": "MA",
            "postal_code": "023391614",
            "telephone_number": "617-333-8408",
            "fax_number": "781-924-3849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENTON",
        "first_name": "SHERLYN",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "OTD,MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-05",
        "last_updated": "2026-10-16",
        "certification_date": "2026-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "2492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NBCOT CERTIFICATION",
            "identifier": "915892",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "S400284607",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "OT0055",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA STATE OT LICENSE",
            "identifier": "2492",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2026; 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.