Individual provider Active NPI

Jeannie Tso

  • Occupational Therapist
  • Wakefield, MA
National Provider Identifier
1518469014
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
26 Princess St FL 1
Wakefield, MA 01880-0035
Phone
(267) 622-7293
Fax
(215) 392-8821
NPI assigned
Mar 1, 2018
Last updated
Jun 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Primary

Addresses

Primary practice location

26 Princess St FL 1
Wakefield, MA 01880-0035

Mailing address

26 Princess St FL 1
Wakefield, MA 01880-0035
Phone (267) 622-7293

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210205001405 MA Practitioner - Occupational Therapist in Private Practice 0345654174 Reassigns benefits to 2 organizations
I20240813003940 MA Practitioner - Occupational Therapist in Private Practice 0345654174 Practice locations: Wakefield, MA

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)

1242 River St
Hyde Park, MA 02136-2833
Phone (978) 390-6996

26 Princess St
FL 1
Wakefield, MA 01880-0035
Phone (267) 622-7293

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tso Well and Healthy Occupational Therapist CurrentSince May 25, 2024 Accepting new patients
Fox Rehab Ma LLC Occupational Therapist CurrentSince Feb 1, 2023 Accepting new patients
Keka Services, Inc CurrentSince Sep 1, 2023 Accepting new patients

Locations

1242 River St
Hyde Park, MA 02136
Phone (978) 390-6996

26 Princess St
Fl 1
Wakefield, MA 01880
Phone (267) 622-7293

303 Wyman St
Ste 300
Waltham, MA 02451
Phone (781) 330-0577

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1519862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1518469014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 PRINCESS ST FL 1",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018800035",
            "telephone_number": "267-622-7293",
            "fax_number": "215-392-8821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 PRINCESS ST FL 1",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018800035",
            "telephone_number": "267-622-7293",
            "fax_number": "215-392-8821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSO",
        "first_name": "JEANNIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-01",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wakefield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.

Verify at the official NPI Registry.