Active NPI
Janet Lynn Waggoner, OTR/L
- Occupational Therapist
- Quincy, MA
National Provider Identifier
1346480340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 8258
- Practice address
- 211 Franklin St
Quincy, MA 02169-7833 - Phone
- (617) 479-0837
- NPI assigned
- Mar 3, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | 8258 | MA | Primary |
Addresses
Primary practice location
211 Franklin St
Quincy, MA 02169-7833
Mailing address
95 Tower Rd
Hingham, MA 02043-3317
Phone (781) 556-5126
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8258 | MA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236038400000",
"number": "1346480340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 TOWER RD",
"city": "HINGHAM",
"state": "MA",
"postal_code": "020433317",
"telephone_number": "781-556-5126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 FRANKLIN ST",
"city": "QUINCY",
"state": "MA",
"postal_code": "021697833",
"telephone_number": "617-479-0837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAGGONER",
"first_name": "JANET",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-03",
"last_updated": "2009-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "8258",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Quincy, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.