Active NPI
Andrea Mary Liacopoulos, OTD, OTR/L
- Occupational Therapist
- Boston, MA
National Provider Identifier
1629677273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 13775
- Practice address
- 361 Newbury St FL 5
Boston, MA 02115-2727 - Phone
- (617) 302-6244
- NPI assigned
- Oct 23, 2020
- 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 | 13775 | MA | Primary |
Addresses
Primary practice location
361 Newbury St FL 5
Boston, MA 02115-2727
Mailing address
131 Rattlesnake Hill Rd
Andover, MA 01810-6012
Phone (781) 985-5353
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 |
|---|---|---|---|
| 13775 | MA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766016000000",
"number": "1629677273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 RATTLESNAKE HILL RD",
"city": "ANDOVER",
"state": "MA",
"postal_code": "018106012",
"telephone_number": "781-985-5353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "361 NEWBURY ST FL 5",
"city": "BOSTON",
"state": "MA",
"postal_code": "021152727",
"telephone_number": "617-302-6244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIACOPOULOS",
"first_name": "ANDREA",
"middle_name": "MARY",
"credential": "OTD, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-23",
"last_updated": "2025-12-18",
"certification_date": "2025-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "13775",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.