My Pediatric OT Services

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

2170 Issued in MA

Legal business name

MY PEDIATRIC OT SERVICES

Practice address

45 Donegal Way
Mansfield, MA 02048-3427

Phone

(508) 208-8438

Fax

(508) 337-4590

NPI assigned

Sep 6, 2011

Organization subpart

No

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

Authorized official

Name

Mary G Hurley, OTR/L

Title

Occupational Therapist/Owner

Phone

(508) 208-8438

Specialties & licenses 1

Addresses

Other names 1

• Mary G. Hurley OTR Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Beth Jeans, OTR/L

  • Occupational Therapist
  • Mansfield, MA
  • NPI 1144515941
  NPD (past)

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

{
    "created_epoch": "1315267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315267200000",
    "number": "1669753547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 DONEGAL WAY",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020483427",
            "telephone_number": "508-208-8438",
            "fax_number": "508-337-4590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 DONEGAL WAY",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020483427",
            "telephone_number": "508-208-8438",
            "fax_number": "508-337-4590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY PEDIATRIC OT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-06",
        "last_updated": "2011-09-06",
        "status": "A",
        "authorized_official_last_name": "HURLEY",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "508-208-8438",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MA",
            "license": "2170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mary G. Hurley OTR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Elizabeth Moreau, DDS
• Robert J Moreau Sr., D.M.D.
• Emily Mossman, PA-C
• Maura Muldoon, RN
• Matthew Joseph Murray, RN
• My Provider on Demand, PC
• Nader Mental Health Servicesllc
• Gizelle Nahra Yazbeck
• Barbara J Nalen-Cardosa, R.D.
• New England Counseling Center PC

• Clinic/Center in Mansfield, MA
• Providers in Mansfield, MA by specialty
• Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.