Emily Vittal Srinivasaragavan

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

P14757 Issued in NY

Practice address

333 Turnpike Rd Ste 102
Southborough, MA 01772-1755

Phone

(508) 898-2688

NPI assigned

Jan 29, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sudbury Speech and Language Therapy, LLC

  • Speech-Language Pathologist
  • Sudbury, MA
  • NPI 1720450802

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1548720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1467916023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 S MANNING BLVD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122081794",
            "telephone_number": "518-437-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 TURNPIKE RD STE 102",
            "city": "SOUTHBOROUGH",
            "state": "MA",
            "postal_code": "017721755",
            "telephone_number": "508-898-2688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SRINIVASARAGAVAN",
        "first_name": "EMILY",
        "middle_name": "VITTAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-29",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "P14757",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "014748",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southborough Dental Associates LLP
• Southborough Dental Partners PLLC
• Southborough Dentistry PC
• Judy Southey
• Lisa W Spellman, LIC. AC.
• Liv Meier Steen
• Lyndsey Stermer
• Brooke Renee Stillwell, DC
• John L Stock, M.D.
• Susan Amesbury Stone, LIC. AC.

• Occupational Therapist in Southborough, MA
• Providers in Southborough, MA by specialty
• Occupational Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.

Verify at the official NPI Registry.