Active NPI
Amy M O'Connor, MS, OTR/L
- Occupational Therapist
- Pembroke, MA
National Provider Identifier
1639486681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 10155
- Practice address
- 42 Winter St Ste 25
Pembroke, MA 02359-4958 - Phone
- (781) 335-6663
- Fax
- (781) 335-6686
- NPI assigned
- Sep 10, 2010
- Last updated
- Jan 10, 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 | 10155 | MA | Primary |
Addresses
Primary practice location
42 Winter St Ste 25
Pembroke, MA 02359-4958
Mailing address
42 Winter St Ste 25
Pembroke, MA 02359-4958
Phone (781) 335-6663
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 616937 | 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)
- Not enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Shore Therapies | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Weymouth, MA
- NPI 1902972664
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578614400000",
"number": "1639486681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 WINTER ST STE 25",
"city": "PEMBROKE",
"state": "MA",
"postal_code": "023594958",
"telephone_number": "781-335-6663",
"fax_number": "781-335-6686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 WINTER ST STE 25",
"city": "PEMBROKE",
"state": "MA",
"postal_code": "023594958",
"telephone_number": "781-335-6663",
"fax_number": "781-335-6686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'CONNOR",
"first_name": "AMY",
"middle_name": "M",
"credential": "MS, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-10",
"last_updated": "2020-01-10",
"certification_date": "2020-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "10155",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "616937",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pembroke, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.