Active NPI
Gina Khalid
- Pediatric Occupational Therapist
- Canton, MA
National Provider Identifier
1508377359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- Practice address
- 340 Turnpike St
Canton, MA 02021-2700 - Phone
- (781) 619-1500
- NPI assigned
- Oct 19, 2017
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | MA | Primary |
Addresses
Primary practice location
340 Turnpike St
Canton, MA 02021-2700
Mailing address
23 Hunting LN
Wilbraham, MA 01095-2231
Phone (781) 854-1756
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
228 Park Ave S
Suite 36053
New York, NY 10003-1502
339 W 3Rd St
Boston, MA 02127-1319
PO Box
Philadelphia, PA 19182
PO Box
821322 Attn Powerback Credentialing Dept
Philadelphia, PA 19182-1322
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JH Therapy Services | Current | Accepting new patients | |
| JH Therapy Services | Current | Accepting new patients |
Locations
228 Park Ave S
New York, NY 10003
Phone (215) 588-2144
Organizations & group practices 3
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.
-
- Physical Therapist
- South Hamilton, MA
- NPI 1194688341
-
- Home Health Agency
- Boston, MA
- NPI 1962269308
-
- Occupational Therapist
- Lapeer, MI
- NPI 1104618180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617840000000",
"number": "1508377359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 HUNTING LN",
"city": "WILBRAHAM",
"state": "MA",
"postal_code": "010952231",
"telephone_number": "781-854-1756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 TURNPIKE ST",
"city": "CANTON",
"state": "MA",
"postal_code": "020212700",
"telephone_number": "781-619-1500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHALID",
"first_name": "GINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-19",
"last_updated": "2021-04-08",
"certification_date": "2021-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "MA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.