Active NPI
Analucia Diaz, OTR
- Occupational Therapist
- Worcester, MA
National Provider Identifier
1639700875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 13410
- Practice address
- 548 Park Ave
Worcester, MA 01603-2537 - Phone
- (915) 345-5552
- NPI assigned
- Jan 27, 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 | 13410 | MA | Primary |
Addresses
Primary practice location
548 Park Ave
Worcester, MA 01603-2537
Mailing address
46 St Ives Way Apt 12
Marlborough, MA 01752-5916
Phone (915) 345-5552
Other names 1
- Analucia Speer
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13410 | MA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580083200000",
"number": "1639700875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46 ST IVES WAY APT 12",
"city": "MARLBOROUGH",
"state": "MA",
"postal_code": "017525916",
"telephone_number": "915-345-5552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "548 PARK AVE",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016032537",
"telephone_number": "915-345-5552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "ANALUCIA",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-27",
"last_updated": "2020-01-27",
"certification_date": "2020-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "13410",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANALUCIA",
"last_name": "SPEER",
"credential": "OTR",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.