Active NPI
Casey Gavin
- Occupational Therapist
- Northampton, MA
National Provider Identifier
1457815185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 13083
- Practice address
- 131 King St
Northampton, MA 01060-3234 - Phone
- (413) 665-8717
- NPI assigned
- Jan 28, 2019
- 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 | 13083 | MA | Primary |
Addresses
Primary practice location
131 King St
Northampton, MA 01060-3234
Mailing address
19 Norman Cir
Turners Falls, MA 01376-1601
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 |
|---|---|---|---|
| 13083 | MA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581292800000",
"number": "1457815185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 NORMAN CIR",
"city": "TURNERS FALLS",
"state": "MA",
"postal_code": "013761601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 KING ST",
"city": "NORTHAMPTON",
"state": "MA",
"postal_code": "010603234",
"telephone_number": "413-665-8717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAVIN",
"first_name": "CASEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-28",
"last_updated": "2020-02-10",
"certification_date": "2020-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "13083",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northampton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.