Active NPI
Jurelis Santos
- Occupational Therapist
- Haverhill, MA
National Provider Identifier
1518481035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 11980
- Practice address
- 356 Main St
Haverhill, MA 01830-4008 - Phone
- (978) 373-0002
- Fax
- (978) 914-7824
- NPI assigned
- Jul 26, 2017
- 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 | 11980 | MA | Primary |
Addresses
Primary practice location
356 Main St
Haverhill, MA 01830-4008
Mailing address
356 Main St
Haverhill, MA 01830-4008
Phone (978) 373-0002
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501027200000",
"number": "1518481035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "356 MAIN ST",
"city": "HAVERHILL",
"state": "MA",
"postal_code": "018304008",
"telephone_number": "978-373-0002",
"fax_number": "978-914-7824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "356 MAIN ST",
"city": "HAVERHILL",
"state": "MA",
"postal_code": "018304008",
"telephone_number": "978-373-0002",
"fax_number": "978-914-7824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTOS",
"first_name": "JURELIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-26",
"last_updated": "2017-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "11980",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Haverhill, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.