Active NPI
Joanna Maag, MS, OTR/L
- Occupational Therapist
- Worcester, MA
National Provider Identifier
1376963835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 11184
- Practice address
- 135 Gold Star Blvd Ste 103
Worcester, MA 01606-2738 - Phone
- (844) 543-8437
- NPI assigned
- Apr 23, 2014
- Sex
- Female
- Sole proprietor
- No
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 | 11184 | MA | Primary |
Addresses
Primary practice location
135 Gold Star Blvd Ste 103
Worcester, MA 01606-2738
Mailing address
186 6TH Ave # 2
Woonsocket, RI 02895-4023
Phone (516) 982-0956
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11184 | MA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738195200000",
"number": "1376963835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "186 6TH AVE # 2",
"city": "WOONSOCKET",
"state": "RI",
"postal_code": "028954023",
"telephone_number": "516-982-0956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 GOLD STAR BLVD STE 103",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016062738",
"telephone_number": "844-543-8437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAAG",
"first_name": "JOANNA",
"credential": "MS, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-23",
"last_updated": "2025-01-30",
"certification_date": "2025-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "11184",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.