Active NPI
Stephen E Salzillo
- Occupational Therapist
- Burlington, MA
National Provider Identifier
1407042104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 8395
- Practice address
- 3 Burlington Woods Ste 304
Burlington, MA 01803-4514 - Phone
- (888) 782-3360
- NPI assigned
- Sep 18, 2007
- Sex
- Male
- 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 | 8395 | MA | Primary |
Addresses
Primary practice location
3 Burlington Woods Ste 304
Burlington, MA 01803-4514
Mailing address
131 Pine St
Norton, MA 02766-2812
Phone (617) 894-0994
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8395 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190073600000",
"number": "1407042104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 PINE ST",
"city": "NORTON",
"state": "MA",
"postal_code": "027662812",
"telephone_number": "617-894-0994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 BURLINGTON WOODS STE 304",
"city": "BURLINGTON",
"state": "MA",
"postal_code": "018034514",
"telephone_number": "888-782-3360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALZILLO",
"first_name": "STEPHEN",
"middle_name": "E",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-18",
"last_updated": "2007-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "8395",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burlington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.