Individual provider Active NPI

Abigail Schmidt

  • Occupational Therapist
  • Brookline, MA
National Provider Identifier
1649092131
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
901096783 Issued in MA
Practice address
200 Ivy St
Brookline, MA 02446-3907
Phone
(617) 738-5110
NPI assigned
Oct 28, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 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 901096783 MA Primary

Addresses

Primary practice location

200 Ivy St
Brookline, MA 02446-3907

Mailing address

594 Centre St Apt 2
Jamaica Plain, MA 02130-2560
Phone (802) 779-8643

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241212000224 MA Practitioner - Occupational Therapist in Private Practice 2264968304 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Boston University School of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mab Community Services IncGroup PAC ID 3870570070, 12 clinicians

Practice addresses (Care Compare)

200 Ivy St
Brookline, MA 02446-3907
Phone (508) 854-0732

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
901096783MAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mab Community Services, Inc Occupational Therapist CurrentSince Oct 28, 2024 Accepting new patients

Locations

200 Ivy St
Brookline, MA 02446
Phone (617) 738-5110

799 W Boylston St
Ste 7
Worcester, MA 01606
Phone (508) 854-0700

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1649092131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "594 CENTRE ST APT 2",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021302560",
            "telephone_number": "802-779-8643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 IVY ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024463907",
            "telephone_number": "617-738-5110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "ABIGAIL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-28",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "901096783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.