Active NPI
Corrine A Walsh, COTA/L
- Occupational Therapy Assistant
- Marblehead, MA
National Provider Identifier
1639926140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 3771
- Practice address
- 20 Rowland St
Marblehead, MA 01945-3135 - Phone
- (978) 337-7387
- NPI assigned
- May 2, 2024
- Last updated
- May 2, 2024
- 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 Therapy Assistant | 224Z00000X | 3771 | MA | Primary |
Addresses
Primary practice location
20 Rowland St
Marblehead, MA 01945-3135
Mailing address
1 Bathol St
Wakefield, MA 01880-3655
Phone (978) 337-7387
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 |
|---|---|---|---|
| 3771 | MA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714608000000",
"number": "1639926140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 BATHOL ST",
"city": "WAKEFIELD",
"state": "MA",
"postal_code": "018803655",
"telephone_number": "978-337-7387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 ROWLAND ST",
"city": "MARBLEHEAD",
"state": "MA",
"postal_code": "019453135",
"telephone_number": "978-337-7387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALSH",
"first_name": "CORRINE",
"middle_name": "A",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-02",
"last_updated": "2024-05-02",
"certification_date": "2024-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "MA",
"license": "3771",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marblehead, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.