Individual provider Active NPI

Anna Knox, MSOT, OTR/L

  • Pediatric Occupational Therapist
  • Newton, MA
National Provider Identifier
1326452178
Registry record updated Apr 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
13667 Issued in MA
Practice address
74 Bridge St
Newton, MA 02458-1147
Phone
(617) 969-4410
NPI assigned
Jun 19, 2014
Last updated
Apr 24, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X
Pediatric Occupational Therapist 225XP0200X 13667 MA Primary

Addresses

Primary practice location

74 Bridge St
Newton, MA 02458-1147

Mailing address

218 Holland St
Somerville, MA 02144-2432

Other practice location 1

801 Pleasant St
Brockton, MA 02301-3052
Phone (508) 586-5977

Other practice location 2

218 Holland St
Somerville, MA 02144-2432
Phone (617) 764-1997

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

State licenses

LicenseStateTypeSpecialty
13667MAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ota the Koomar Center, LLC Pediatrics CurrentSince May 16, 2021 Accepting new patients
Occupational Therapy Associates - Watertown, Inc. CurrentSince Feb 25, 2024 Accepting new patients
Talbaz, Inc Pediatrics PastSince May 16, 2021 Accepting new patients

Locations

74 Bridge St
Newton, MA 02458
Phone (617) 969-4410

Organizations & group practices 3

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": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619222400000",
    "number": "1326452178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 HOLLAND ST",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021442432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 BRIDGE ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024581147",
            "telephone_number": "617-969-4410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 Pleasant St",
            "address_purpose": "LOCATION",
            "city": "Brockton",
            "state": "MA",
            "postal_code": "023013052",
            "country_code": "US",
            "telephone_number": "508-586-5977",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "218 Holland St",
            "address_purpose": "LOCATION",
            "city": "Somerville",
            "state": "MA",
            "postal_code": "021442432",
            "country_code": "US",
            "telephone_number": "617-764-1997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNOX",
        "first_name": "ANNA",
        "credential": "MSOT, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-19",
        "last_updated": "2021-04-24",
        "certification_date": "2021-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MA",
            "license": "13667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 24, 2021; 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.