Active NPI
Tania L Medina, OTR
- Occupational Therapist
- Lexington, MA
National Provider Identifier
1598054868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1409
- Practice address
- 2 Munroe Rd
Lexington, MA 02421-7812 - Phone
- (781) 863-2014
- Fax
- (781) 863-2493
- NPI assigned
- Apr 7, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 1409 | MA | Primary |
Addresses
Primary practice location
2 Munroe Rd
Lexington, MA 02421-7812
Mailing address
2 Munroe Rd
Lexington, MA 02421-7812
Phone (781) 863-2014
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1409 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302134400000",
"number": "1598054868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 MUNROE RD",
"city": "LEXINGTON",
"state": "MA",
"postal_code": "024217812",
"telephone_number": "781-863-2014",
"fax_number": "781-863-2493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 MUNROE RD",
"city": "LEXINGTON",
"state": "MA",
"postal_code": "024217812",
"telephone_number": "781-863-2014",
"fax_number": "781-863-2493"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDINA",
"first_name": "TANIA",
"middle_name": "L",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-07",
"last_updated": "2011-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "1409",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.