Active NPI
Mark Galluzzo, OTR/L
- Occupational Therapist
- Somerset, MA
National Provider Identifier
1750562997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 6038
- Practice address
- 500 Wilbur Ave
Somerset, MA 02725-2051 - Phone
- (508) 675-7589
- Fax
- (508) 672-7422
- NPI assigned
- Nov 15, 2007
- Last updated
- Nov 15, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 6038 | MA | Primary |
Addresses
Primary practice location
500 Wilbur Ave
Somerset, MA 02725-2051
Mailing address
500 Wilbur Ave
Somerset, MA 02725-2051
Phone (508) 675-7589
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 |
|---|---|---|---|
| 6038 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195084800000",
"number": "1750562997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 WILBUR AVE",
"city": "SOMERSET",
"state": "MA",
"postal_code": "027252051",
"telephone_number": "508-675-7589",
"fax_number": "508-672-7422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 WILBUR AVE",
"city": "SOMERSET",
"state": "MA",
"postal_code": "027252051",
"telephone_number": "508-675-7589",
"fax_number": "508-672-7422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLUZZO",
"first_name": "MARK",
"name_prefix": "Mr.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-15",
"last_updated": "2007-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "6038",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Somerset, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.