Ani Avaneszadeh, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

14004 Issued in MA

Practice address

170 Morton St
Jamaica Plain, MA 02130-3735

Phone

(703) 635-5880

NPI assigned

Dec 18, 2020

Last updated

Dec 9, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1608249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1417543968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 BOSTON AVE UNIT 1",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021555226",
            "telephone_number": "703-635-5880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 MORTON ST",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021303735",
            "telephone_number": "703-635-5880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVANESZADEH",
        "first_name": "ANI",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-18",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "14004",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bhumi Nanda Aryal
• Ife Sarah Asere
• Yael Assaf-Gruzman, LMHC
• Atreva Health Care, Inc.
• Lindsay Marie Auclair
• Jennifer M Aviles I
• Aleksandra Avrutsky
• Kyra Babakian
• Gary Bachman, LMHC
• William Robert Bachman, M.D.

• Occupational Therapist in Jamaica Plain, MA
• Providers in Jamaica Plain, MA by specialty
• Occupational Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; 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.