NPIMap

Individual provider Active NPI

Patrice D Bain, MS, OTR/L

  • Low Vision Occupational Therapist
  • Boston, MA
National Provider Identifier
1659658334
Registry record updated Nov 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Low Vision Occupational TherapistTaxonomy code 225XL0004X
License
7552 Issued in MA
Practice address
1 Post Office SQ
Suite 3600
Boston, MA 02109-2106
Phone
(866) 590-0011
Fax
(888) 445-3937
NPI assigned
Nov 9, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Low Vision Occupational Therapist 225XL0004X 7552 MA Primary

Addresses

Primary practice location

1 Post Office SQ
Suite 3600
Boston, MA 02109-2106

Mailing address

1 Post Office SQ
Suite 3600
Boston, MA 02109-2106
Phone (866) 590-0011

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
7552MAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Low Vision Works of Florida LLC 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1320796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320796800000",
    "number": "1659658334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 POST OFFICE SQ",
            "address_2": "SUITE 3600",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021092106",
            "telephone_number": "866-590-0011",
            "fax_number": "888-445-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 POST OFFICE SQ",
            "address_2": "SUITE 3600",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021092106",
            "telephone_number": "866-590-0011",
            "fax_number": "888-445-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAIN",
        "first_name": "PATRICE",
        "middle_name": "D",
        "credential": "MS, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-09",
        "last_updated": "2011-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XL0004X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Low Vision",
            "state": "MA",
            "license": "7552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2011; 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.