Active NPI
Susan Dacey, OT
- Specialist
- Sturbridge, MA
National Provider Identifier
1750330643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 6451
- Practice address
- 179 Main St
QPT
Sturbridge, MA 01566-1158 - Phone
- (508) 347-8141
- Fax
- (508) 347-7576
- NPI assigned
- May 8, 2006
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 6451 | MA | Primary |
Addresses
Primary practice location
179 Main St
QPT
Sturbridge, MA 01566-1158
Mailing address
PO Box 91
Charlton, MA 01507-0091
Phone (508) 248-9264
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6451 | MA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386115200000",
"number": "1750330643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 91",
"city": "CHARLTON",
"state": "MA",
"postal_code": "015070091",
"telephone_number": "508-248-9264",
"fax_number": "508-347-7576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "179 MAIN ST",
"address_2": "QPT",
"city": "STURBRIDGE",
"state": "MA",
"postal_code": "015661158",
"telephone_number": "508-347-8141",
"fax_number": "508-347-7576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DACEY",
"first_name": "SUSAN",
"name_prefix": "Ms.",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-08",
"last_updated": "2013-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MA",
"license": "6451",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sturbridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.