Active NPI
Ashlee Minahan, MOT OTRL
- Occupational Therapist
- Agawam, MA
National Provider Identifier
1467576827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 9101
- Practice address
- 65 Cooper St
Agawam, MA 01001-2149 - Phone
- (413) 786-8000
- NPI assigned
- Mar 19, 2007
- 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 | 9101 | MA | Primary |
Addresses
Primary practice location
65 Cooper St
Agawam, MA 01001-2149
Mailing address
27 Michel St
East Longmeadow, MA 01028-3134
Phone (413) 525-6407
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 |
|---|---|---|---|
| 9101 | MA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467576827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 MICHEL ST",
"city": "EAST LONGMEADOW",
"state": "MA",
"postal_code": "010283134",
"telephone_number": "413-525-6407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 COOPER ST",
"city": "AGAWAM",
"state": "MA",
"postal_code": "010012149",
"telephone_number": "413-786-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINAHAN",
"first_name": "ASHLEE",
"name_prefix": "Miss",
"credential": "MOT OTRL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "9101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Agawam, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.