Active NPI
Andrea Mohr Larsen, MS,OTR/L
- Occupational Therapist
- Andover, MA
National Provider Identifier
1487837555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 919
- Practice address
- 32 Osgood St
Andover, MA 01810-5411 - Phone
- (978) 475-3806
- Fax
- (978) 475-6288
- NPI assigned
- Dec 12, 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 | 919 | MA | Primary |
Addresses
Primary practice location
32 Osgood St
Andover, MA 01810-5411
Mailing address
7 Lansbury LN
Andover, MA 01810-3315
Phone (978) 475-9515
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 919 | MA | MD | Audiologist-Hearing Aid Fitter |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197417600000",
"number": "1487837555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 LANSBURY LN",
"city": "ANDOVER",
"state": "MA",
"postal_code": "018103315",
"telephone_number": "978-475-9515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 OSGOOD ST",
"city": "ANDOVER",
"state": "MA",
"postal_code": "018105411",
"telephone_number": "978-475-3806",
"fax_number": "978-475-6288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSEN",
"first_name": "ANDREA",
"middle_name": "MOHR",
"name_prefix": "Mrs.",
"credential": "MS,OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-12",
"last_updated": "2007-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "919",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Andover, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.