Active NPI
Pamela Hibbard Bugbee, OTRL
- Occupational Therapist
- Worcester, MA
National Provider Identifier
1538273297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2490
- Practice address
- 50 Gold Star Blvd.
Worcester, MA 01606 - Phone
- (508) 856-9510
- Fax
- (508) 853-1907
- NPI assigned
- Aug 19, 2006
- 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 | 2490 | MA | Primary |
Addresses
Primary practice location
50 Gold Star Blvd.
Worcester, MA 01606
Mailing address
5 Neponset St FL ST2
Worcester, MA 01606-2714
Phone (508) 856-9510
Other practice location 1
640 Lincoln Street
Worcester, MA 01605
Phone (508) 854-2426
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 042477266 | Other | PRIVATE HEALTHCARE SYSTEM | |
| 042472266 | Other | HEALTHCARE VALUE MANAGEME | |
| 0701335 | Other | WELFARE MEDICAID | |
| 2779432 | Other | CIGNA HEALTH PLAN | |
| 787398 | Other | MVP HEALTH CARE | |
| AA4053 | Other | HARVARD PILGRIM HEALTHCAR | |
| 042472266 | Other | THREE RIVERS | |
| 7551642 | Other | AETNA US HEALTHCARE | |
| 42392 | Other | FALLON COMMUNITY HEALTH | |
| OT0068 | Other | BLUE CROSS | |
| 0701335 | Medicaid | MA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2490 | MA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reliant Medical Group, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Worcester, MA
- NPI 1295827962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543536000000",
"number": "1538273297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 NEPONSET ST FL ST2",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016062714",
"telephone_number": "508-856-9510",
"fax_number": "508-853-1907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 GOLD STAR BLVD.",
"city": "WORCESTER",
"state": "MA",
"postal_code": "01606",
"telephone_number": "508-856-9510",
"fax_number": "508-853-1907"
}
],
"practiceLocations": [
{
"address_1": "640 Lincoln Street",
"address_purpose": "LOCATION",
"city": "Worcester",
"state": "MA",
"postal_code": "01605",
"country_code": "US",
"telephone_number": "508-854-2426",
"fax_number": "508-854-1575",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUGBEE",
"first_name": "PAMELA",
"middle_name": "HIBBARD",
"credential": "OTRL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-19",
"last_updated": "2018-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "2490",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE HEALTHCARE SYSTEM",
"identifier": "042477266",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHCARE VALUE MANAGEME",
"identifier": "042472266",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELFARE MEDICAID",
"identifier": "0701335",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTH PLAN",
"identifier": "2779432",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP HEALTH CARE",
"identifier": "787398",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTHCAR",
"identifier": "AA4053",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THREE RIVERS",
"identifier": "042472266",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA US HEALTHCARE",
"identifier": "7551642",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON COMMUNITY HEALTH",
"identifier": "42392",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "OT0068",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0701335",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.