Active NPI
Miranda Fox
- Occupational Therapist
- Brookline, MA
National Provider Identifier
1427688142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 13539
- Practice address
- 200 Ivy St
Brookline, MA 02446-3907 - Phone
- (617) 738-5110
- NPI assigned
- Jan 22, 2020
- 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 | 13539 | MA | Primary |
Addresses
Primary practice location
200 Ivy St
Brookline, MA 02446-3907
Mailing address
65 S Huntington Ave Apt 1
Jamaica Plain, MA 02130-4799
Phone (352) 318-4782
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 |
|---|---|---|---|
| 13539 | MA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680220800000",
"number": "1427688142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 S HUNTINGTON AVE APT 1",
"city": "JAMAICA PLAIN",
"state": "MA",
"postal_code": "021304799",
"telephone_number": "352-318-4782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 IVY ST",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024463907",
"telephone_number": "617-738-5110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOX",
"first_name": "MIRANDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-22",
"last_updated": "2023-03-31",
"certification_date": "2023-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "13539",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brookline, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.