Ellen Julia Radford, MS, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

10510 Issued in MA

Practice address

76A Brookings St
Medford, MA 02155-5407

Phone

(617) 650-5729

NPI assigned

Jul 31, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Ms. Ellen Julia Sklaroff Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1375228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375228800000",
    "number": "1558793695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76A BROOKINGS ST",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021555407",
            "telephone_number": "617-650-5729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76A BROOKINGS ST",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021555407",
            "telephone_number": "617-650-5729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADFORD",
        "first_name": "ELLEN",
        "middle_name": "JULIA",
        "name_prefix": "Mrs.",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-31",
        "last_updated": "2013-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "10510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NBCOT",
            "identifier": "290947",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DIVISION OF PROFESSIONAL LICENSURE BOARD OF ALLIED HEALTH PROFESSIONS",
            "identifier": "10510",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLEN",
            "last_name": "SKLAROFF",
            "middle_name": "JULIA",
            "prefix": "MS.",
            "credential": "MS, OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Karen Ann Quigley, DMD
• Patrick Quigley, LCSW
• Sandra Alexandrina Quintal, PSYCH NP, PSYCH CNS
• R.a.Short & R.a. Schnell D.M.D.
• Rachel Dorsey Autistic SLP LLC
• Raffi Bagdassarian DMD, PC
• Zorangeli Ramos, PH.D.
• Sarah Raphael
• Brent Raskind, LCSW
• Hannah Rawnsley

• Occupational Therapist in Medford, MA
• Providers in Medford, MA by specialty
• Occupational Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.