Tiffany Tanona, OT

Individual provider Active NPI Occupational Therapy Assistant · Shirley, MA

NPI 1700735495 · NPPES record last updated Jan 26, 2026

Key facts

NPI
1700735495
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
OTA4437 (MA)
Practice address
2 Shaker Rd Ste D217
Shirley, MA 01464-2535
Phone
(978) 245-4700
Fax
(978) 245-2600
NPI assigned
Jan 26, 2026
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
OTA4437MAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Nashoba Pediatric Therapies, LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OTA4437 MA Yes

Addresses

Primary practice location

2 Shaker Rd Ste D217
Shirley, MA 01464-2535

Mailing address

369 May St Apt 1
Worcester, MA 01602-1833

Other names

  • Tiffany Sackett Former name

Other providers in Shirley, MA

All providers in Shirley, MA · Occupational Therapy Assistant in Massachusetts

Sources for this page

Verify at the official NPI Registry.