Individual provider Active NPI

Cecile Wong Tagliani, MS OTR/L

  • Occupational Therapist
  • Beverly, MA
National Provider Identifier
1699358895
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
6978 Issued in MA
Practice address
100 Cummings Ctr Ste 350G
Beverly, MA 01915-6136
Phone
(978) 712-0003
Fax
(866) 258-7586
NPI assigned
May 4, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2021

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 6978 MA Primary

Addresses

Primary practice location

100 Cummings Ctr Ste 350G
Beverly, MA 01915-6136

Mailing address

11 Frankwood Ave
Beverly, MA 01915-1007
Phone (617) 694-2814

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
6978MAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Peer Projects, LLC PastSince May 9, 2021 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": "1620086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1699358895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 FRANKWOOD AVE",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019151007",
            "telephone_number": "617-694-2814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CUMMINGS CTR STE 350G",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156136",
            "telephone_number": "978-712-0003",
            "fax_number": "866-258-7586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAGLIANI",
        "first_name": "CECILE",
        "middle_name": "WONG",
        "credential": "MS OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-04",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "6978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; 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.