Individual provider Active NPI

Sandra A Abdelahad, OTR, CHT

  • Hand Occupational Therapist
  • Mendon, MA
National Provider Identifier
1457576902
Registry record updated Oct 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
001 Issued in MA
Practice address
12 Pine Needle Rd
Mendon, MA 01756-1329
Phone
(508) 634-5404
Fax
(508) 634-5404
NPI assigned
Apr 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 001 MA Primary

Addresses

Primary practice location

12 Pine Needle Rd
Mendon, MA 01756-1329

Mailing address

12 Pine Needle Rd
Mendon, MA 01756-1329
Phone (508) 634-5404

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

LicenseStateTypeSpecialty
001MAMDHand Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412640000000",
    "number": "1457576902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 PINE NEEDLE RD",
            "city": "MENDON",
            "state": "MA",
            "postal_code": "017561329",
            "telephone_number": "508-634-5404",
            "fax_number": "508-634-5404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 PINE NEEDLE RD",
            "city": "MENDON",
            "state": "MA",
            "postal_code": "017561329",
            "telephone_number": "508-634-5404",
            "fax_number": "508-634-5404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDELAHAD",
        "first_name": "SANDRA",
        "middle_name": "A",
        "credential": "OTR, CHT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2014-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "MA",
            "license": "001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mendon, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; 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.