Individual provider Active NPI

Korrey Lynne Demond, OTR/L

  • Occupational Therapist
  • North Attleboro, MA
National Provider Identifier
1720623580
Registry record updated Nov 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5726 Issued in MA
Practice address
15 Chipping Stone Rd
North Attleboro, MA 02760-4485
Phone
(508) 254-2354
NPI assigned
Nov 15, 2019
Last updated
Nov 15, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2019

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 5726 MA Primary

Addresses

Primary practice location

15 Chipping Stone Rd
North Attleboro, MA 02760-4485

Mailing address

15 Chipping Stone Rd
North Attleboro, MA 02760-4485
Phone (508) 254-2354

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1573776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573776000000",
    "number": "1720623580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CHIPPING STONE RD",
            "city": "NORTH ATTLEBORO",
            "state": "MA",
            "postal_code": "027604485",
            "telephone_number": "508-254-2354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CHIPPING STONE RD",
            "city": "NORTH ATTLEBORO",
            "state": "MA",
            "postal_code": "027604485",
            "telephone_number": "508-254-2354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMOND",
        "first_name": "KORREY",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-15",
        "last_updated": "2019-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "5726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Attleboro, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2019; 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.