Active NPI
Mass. Department of Developmental Services
- Physical Therapist
- Danvers, MA
National Provider Identifier
1629389010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- MASS. DEPARTMENT OF DEVELOPMENTAL SERVICES
- Practice address
- 450 Maple Street
Kelley Assistive Technology Center, Hogan Regional Cent
Danvers, MA 01923-4009 - Phone
- (978) 774-5000
- Fax
- (978) 739-0417
- NPI assigned
- Jun 30, 2010
- Organization subpart
- Yes
- Parent organization
- COMM. OF MASS, DEPARTMENT OF DEVELOPMENTAL SERVICES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Elin Howe
- Title
- Commissioner, Mass, Department of D
- Phone
- (617) 624-7723
Specialties & licenses 13
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | |||
| Physical Therapist | 225100000X | Primary | ||
| Orthopedic Physical Therapist | 2251X0800X | |||
| Physical Therapy Assistant | 225200000X | |||
| Rehabilitation Practitioner | 225400000X | |||
| Rehabilitation Counselor | 225C00000X | |||
| Assistive Technology Practitioner Rehabilitation Counselor | 225CA2400X | |||
| Assistive Technology Supplier Rehabilitation Counselor | 225CA2500X | |||
| Occupational Therapist | 225X00000X | |||
| Audiologist | 231H00000X | |||
| Speech/Language/Hearing Specialist/Technologist | 235500000X | |||
| Speech-Language Assistant | 2355S0801X | |||
| Speech-Language Pathologist | 235Z00000X |
Addresses
Primary practice location
450 Maple Street
Kelley Assistive Technology Center, Hogan Regional Cent
Danvers, MA 01923-4009
Mailing address
500 Harrison Avenue
Second Floor
Boston, MA 02118-2439
Phone (617) 624-7723
Other names 1
- DDS Assistive Technology Unit
National Provider Directory
National Provider Directory- Tax ID family
- C Stanley Raymond
- Part of
- C Stanley Raymond
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Case Management Agency
- Beverly, MA
- NPI 1518096411
-
- Case Management Agency
- Springfield, MA
- NPI 1528281532
-
- Case Management Agency
- Jamaica Plain, MA
- NPI 1578680252
-
- Intellectual Disabilities Intermediate Care Facility
- Hathorne, MA
- NPI 1598957391
-
- Case Management Agency
- Fitchburg, MA
- NPI 1609099910
-
- Community/Behavioral Health Agency
- Boston, MA
- NPI 1659594802
-
- Case Management Agency
- Wakefield, MA
- NPI 1679602502
-
- Case Management Agency
- Lynn, MA
- NPI 1679690770
-
- Community/Behavioral Health Agency
- Westborough, MA
- NPI 1649390238
-
- Community/Behavioral Health Agency
- Fall River, MA
- NPI 1679742563
-
- Intellectual Disabilities Intermediate Care Facility
- Shrewsbury, MA
- NPI 1659594976
-
- Mental Illness Community Based Residential Treatment Facility
- Dorchester Center, MA
- NPI 1568580736
Locations
500 Harrison Ave
Fl Second
Boston, MA 02118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277856000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1277856000000",
"number": "1629389010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 HARRISON AVENUE",
"address_2": "SECOND FLOOR",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182439",
"telephone_number": "617-624-7723",
"fax_number": "617-624-7577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 MAPLE STREET",
"address_2": "KELLEY ASSISTIVE TECHNOLOGY CENTER, HOGAN REGIONAL CENT",
"city": "DANVERS",
"state": "MA",
"postal_code": "019234009",
"telephone_number": "978-774-5000",
"fax_number": "978-739-0417"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MASS. DEPARTMENT OF DEVELOPMENTAL SERVICES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "COMM. OF MASS, DEPARTMENT OF DEVELOPMENTAL SERVICES",
"enumeration_date": "2010-06-30",
"last_updated": "2010-06-30",
"status": "A",
"authorized_official_last_name": "HOWE",
"authorized_official_first_name": "ELIN",
"authorized_official_title_or_position": "COMMISSIONER, MASS, DEPARTMENT OF D",
"authorized_official_telephone_number": "617-624-7723",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapy Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "2251X0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Orthopedic",
"state": null,
"license": null,
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapy Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "225C00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Rehabilitation Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "225CA2400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Rehabilitation Counselor, Assistive Technology Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "225CA2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Rehabilitation Counselor, Assistive Technology Supplier",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Audiologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "2355S0801X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "DDS Assistive Technology Unit",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Danvers, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.