Individual provider Active NPI

Loghan Nace, OT, MSOT, OTR

  • Occupational Therapist
  • Wellesley, MA
National Provider Identifier
1629896741
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
14451 Issued in MA
Practice address
49 Walnut St
Wellesley, MA 02481-2117
Phone
(781) 239-0100
NPI assigned
Sep 27, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 14451 MA Primary

Addresses

Primary practice location

49 Walnut St
Wellesley, MA 02481-2117

Mailing address

17 Moraine St
Jamaica Plain, MA 02130-4315
Phone (717) 512-6490

Other practice location 1

10 Tech Cir
Natick, MA 01760-1029
Phone (781) 239-0100

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

LicenseStateTypeSpecialty
14451MAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1727395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1629896741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 MORAINE ST",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021304315",
            "telephone_number": "717-512-6490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 WALNUT ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024812117",
            "telephone_number": "781-239-0100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Tech Cir",
            "address_purpose": "LOCATION",
            "city": "Natick",
            "state": "MA",
            "postal_code": "017601029",
            "country_code": "US",
            "telephone_number": "781-239-0100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NACE",
        "first_name": "LOGHAN",
        "credential": "OT, MSOT, OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-27",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "14451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellesley, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; 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.