Active NPI
Cynthia Phillips, OT
- Hand Occupational Therapist
- Brookline, MA
National Provider Identifier
1588768832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- OT326
- Practice address
- 1269 Beacon Street
Suite 2
Brookline, MA 02246 - Phone
- (617) 730-5337
- Fax
- (617) 730-5461
- NPI assigned
- Sep 8, 2006
- Last updated
- Jan 6, 2015
- 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 |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | OT326 | MA | Primary |
Addresses
Primary practice location
1269 Beacon Street
Suite 2
Brookline, MA 02246
Mailing address
1180 Beacon Street
Suite 6C
Brookline, MA 02246
Phone (617) 730-5337
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7389671 | Other | MA | AETNA |
| 605716 | Other | MA | HPHC |
| OT0001 | Other | MA | BC/BS |
| 0399116 | Medicaid | MA | |
| 468227 | Other | MA | TUFTS |
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 |
|---|---|---|---|
| 326 | MA | MD | Mental Health Counselor |
| OT326 | MA | MD | Hand Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420502400000",
"number": "1588768832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1180 BEACON STREET",
"address_2": "SUITE 6C",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "02246",
"telephone_number": "617-730-5337",
"fax_number": "617-730-5461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1269 BEACON STREET",
"address_2": "SUITE 2",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "02246",
"telephone_number": "617-730-5337",
"fax_number": "617-730-5461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "CYNTHIA",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-08",
"last_updated": "2015-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "MA",
"license": "OT326",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7389671",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HPHC",
"identifier": "605716",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "OT0001",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0399116",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "468227",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brookline, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.