Channon Barnes, OTR
Individual provider Active NPI Occupational Therapist · Braintree, MA
NPI 1720738487 · NPPES record last updated Mar 25, 2022
Key facts
- NPI
- 1720738487
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 14363 (MA)
- Practice address
- 1102 Washington St # 5438
Braintree, MA 02184-5438 - Phone
- (781) 848-3100
- NPI assigned
- Mar 25, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14363 | MA | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 14363 | MA | Yes |
Addresses
Primary practice location
1102 Washington St # 5438
Braintree, MA 02184-5438
Mailing address
182 Longmeadow Dr
Holbrook, MA 02343-2237
Phone (774) 274-9494
Other providers in Braintree, MA
- Andrew Joseph Baker
- Richard James Baker
- Ozair Banday
- Bane John Scott, LLC
- Sara M Barbosa
- Peter A Barrant
- Nancy M Barros
- Nicole Barsky
- Fritz G Barthelemy
- Angela Bassett
All providers in Braintree, MA · Occupational Therapist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.