Active NPI
Haley Oliver, OTD, OTR/L
- Occupational Therapist
- Auburndale, MA
National Provider Identifier
1669948188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 14567
- Practice address
- 120 Seminary Ave
Auburndale, MA 02466-2650 - Phone
- (617) 663-7100
- NPI assigned
- Oct 23, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | KY | ||
| Occupational Therapist | 225X00000X | |||
| Occupational Therapist | 225X00000X | 14567 | MA | Primary |
Addresses
Primary practice location
120 Seminary Ave
Auburndale, MA 02466-2650
Mailing address
1400 Worcester Rd Apt 7407
Framingham, MA 01702-8929
Phone (502) 718-7768
Other practice location 1
1351 Newtown Pike Bldg 5
Lexington, KY 40511-1282
Phone (859) 253-1686
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790731081 | Medicaid | KY |
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 |
|---|---|---|---|
| 14567 | MA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659571200000",
"number": "1669948188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 WORCESTER RD APT 7407",
"city": "FRAMINGHAM",
"state": "MA",
"postal_code": "017028929",
"telephone_number": "502-718-7768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 SEMINARY AVE",
"city": "AUBURNDALE",
"state": "MA",
"postal_code": "024662650",
"telephone_number": "617-663-7100"
}
],
"practiceLocations": [
{
"address_1": "1351 Newtown Pike Bldg 5",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405111282",
"country_code": "US",
"telephone_number": "859-253-1686",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OLIVER",
"first_name": "HALEY",
"credential": "OTD, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-23",
"last_updated": "2022-08-04",
"certification_date": "2022-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "KY",
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "14567",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1790731081",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Auburndale, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.