Individual provider Active NPI

Ann Richardson

  • Occupational Therapist
  • Weymouth, MA
National Provider Identifier
1396297057
Registry record updated Feb 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
12008 Issued in MA
Practice address
163 Libbey Industrial Pkwy
Suite 302
Weymouth, MA 02189-3137
Phone
(781) 335-6663
Fax
(781) 335-6686
NPI assigned
Oct 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 12008 MA
Occupational Therapist 225X00000X 12008 MA Primary

Addresses

Primary practice location

163 Libbey Industrial Pkwy
Suite 302
Weymouth, MA 02189-3137

Mailing address

163 Libbey Industrial Pkwy
Suite 302
Weymouth, MA 02189-3137
Phone (781) 335-6663

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
12008MAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
JP Therapy, LLC CurrentSince Jun 25, 2023 Accepting new patients
South Shore Therapies Past Accepting new patients

Locations

5604 Virginia Beach Blvd
Ste 101
Virginia Beach, VA 23462

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1477612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485993600000",
    "number": "1396297057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 LIBBEY INDUSTRIAL PKWY",
            "address_2": "SUITE 302",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021893137",
            "telephone_number": "781-335-6663",
            "fax_number": "781-335-6686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 LIBBEY INDUSTRIAL PKWY",
            "address_2": "SUITE 302",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021893137",
            "telephone_number": "781-335-6663",
            "fax_number": "781-335-6686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-28",
        "last_updated": "2017-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MA",
            "license": "12008",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "12008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weymouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2017; 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.