Individual provider Active NPI

Miranda Dichairo, OTR/L

  • Occupational Therapist
  • Waltham, MA
National Provider Identifier
1417563008
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
14459 Issued in MA
Practice address
210 Bear Hill Rd Ste 401
Waltham, MA 02451-1025
Phone
(781) 790-8479
NPI assigned
Sep 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OC016955 PA
Occupational Therapist 225X00000X 14459 MA Primary

Addresses

Primary practice location

210 Bear Hill Rd Ste 401
Waltham, MA 02451-1025

Mailing address

210 Bear Hill Rd Ste 401
Waltham, MA 02451-1025
Phone (781) 790-8479

Other practice location 1

625 Walnut St
McKeesport, PA 15132-2806
Phone (412) 673-5005

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address miranda@napacenter.org Direct

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

LicenseStateTypeSpecialty
14459MAMDGeneral Practice Dentistry
OC016955PAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Napa Center Boston, LLC Occupational Therapist CurrentSince Jun 12, 2022 Accepting new patients
Cortica Developmental Therapies PA Past Accepting new patients
Raun D. Melmed Past Accepting new patients

Locations

210 Bear Hill Rd
Ste 401
Waltham, MA 02451
Phone (781) 790-8479

Organizations & group practices 3

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": "1600387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1417563008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 BEAR HILL RD STE 401",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024511025",
            "telephone_number": "781-790-8479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 BEAR HILL RD STE 401",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024511025",
            "telephone_number": "781-790-8479"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 Walnut St",
            "address_purpose": "LOCATION",
            "city": "McKeesport",
            "state": "PA",
            "postal_code": "151322806",
            "country_code": "US",
            "telephone_number": "412-673-5005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DICHAIRO",
        "first_name": "MIRANDA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-18",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC016955",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "14459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "miranda@napacenter.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "210 Bear Hill Rd Ste 401",
            "city": "Waltham",
            "state": "MA",
            "country_code": "US",
            "postal_code": "024511025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waltham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; 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.