Active NPI
Orapin Siriwilairak
- Pediatric Occupational Therapist
- Somerville, MA
National Provider Identifier
1740664275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 11273
- Practice address
- 12 Tyler St
Somerville, MA 02143-3241 - Phone
- (617) 629-3919
- NPI assigned
- Jul 14, 2015
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 11273 | MA | Primary |
Addresses
Primary practice location
12 Tyler St
Somerville, MA 02143-3241
Mailing address
175 Richdale Ave
Apartment 309
Cambridge, MA 02140-3352
Phone (617) 354-0722
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 |
|---|---|---|---|
| 11273 | MA | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436832000000",
"number": "1740664275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 RICHDALE AVE",
"address_2": "APARTMENT 309",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021403352",
"telephone_number": "617-354-0722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 TYLER ST",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "021433241",
"telephone_number": "617-629-3919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIRIWILAIRAK",
"first_name": "ORAPIN",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-14",
"last_updated": "2015-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "MA",
"license": "11273",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Somerville, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.