Active NPI
Romeissa Selmane, OTR/L
- Mental Health Occupational Therapist
- Brighton, MA
National Provider Identifier
1679063200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Occupational Therapist
- License
- 11536
- Practice address
- 77 Warren St BLDG 9
Brighton, MA 02135-3601 - Phone
- (617) 254-0964
- NPI assigned
- May 18, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Occupational Therapist | 225XM0800X | 11536 | MA | Primary |
Addresses
Primary practice location
77 Warren St BLDG 9
Brighton, MA 02135-3601
Mailing address
1 Devonshire PL Apt 1711
Boston, MA 02109-3525
Phone (734) 904-6004
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 |
|---|---|---|---|
| 11536 | MA | MD | Mental Health Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526601600000",
"number": "1679063200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 DEVONSHIRE PL APT 1711",
"city": "BOSTON",
"state": "MA",
"postal_code": "021093525",
"telephone_number": "734-904-6004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 WARREN ST BLDG 9",
"city": "BRIGHTON",
"state": "MA",
"postal_code": "021353601",
"telephone_number": "617-254-0964"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELMANE",
"first_name": "ROMEISSA",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-18",
"last_updated": "2018-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "225XM0800X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Mental Health",
"state": "MA",
"license": "11536",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brighton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.