Active NPI
Mia Grayce Maselli, OTR/L
- Occupational Therapist
- Oxford, CT
National Provider Identifier
1447999727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5945
- Practice address
- 350 Center Rock GRN
Oxford, CT 06478-3169 - Phone
- (203) 828-6790
- NPI assigned
- Jun 3, 2022
- Last updated
- Jun 3, 2022
- Sex
- Female
- 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 | 5945 | CT | Primary |
Addresses
Primary practice location
350 Center Rock GRN
Oxford, CT 06478-3169
Mailing address
350 Center Rock GRN Ste 10
Oxford, CT 06478-3170
Phone (203) 828-6790
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5945 | CT | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654214400000",
"number": "1447999727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 CENTER ROCK GRN STE 10",
"city": "OXFORD",
"state": "CT",
"postal_code": "064783170",
"telephone_number": "203-828-6790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 CENTER ROCK GRN",
"city": "OXFORD",
"state": "CT",
"postal_code": "064783169",
"telephone_number": "203-828-6790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASELLI",
"first_name": "MIA",
"middle_name": "GRAYCE",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-03",
"last_updated": "2022-06-03",
"certification_date": "2022-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CT",
"license": "5945",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oxford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.