Wellesley Pediatric Occupational Therapy

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

8127 Issued in MA

Legal business name

WELLESLEY PEDIATRIC OCCUPATIONAL THERAPY

Practice address

65 Walnut St
Suite 302
Wellesley, MA 02481-2118

Phone

(413) 478-7019

NPI assigned

Apr 24, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jaclyn Sansone, M.ED., OTR/L

Title

Occupational Therapist

Phone

(413) 478-7019

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1366761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366761600000",
    "number": "1760826440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 WALNUT ST",
            "address_2": "SUITE 302",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024812118",
            "telephone_number": "413-478-7019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 WALNUT ST",
            "address_2": "SUITE 302",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024812118",
            "telephone_number": "413-478-7019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLESLEY PEDIATRIC OCCUPATIONAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-24",
        "last_updated": "2013-04-24",
        "status": "A",
        "authorized_official_last_name": "SANSONE",
        "authorized_official_first_name": "JACLYN",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "413-478-7019",
        "authorized_official_credential": "M.ED., OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "8127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wellesley Hills PCMH
• Wellesley Hyperbarics
• Wellesley Medical Associates
• Wellesley Neuropsychology and Assessment PLLC
• Wellesley Oral Surgery and Implant Center, PLLC
• Wellesley Pediatric Speech LLC
• Wellesley Primary Care Medicine, PC
• Wellesley Smiles Dental Professionals P.C
• Wellesley Wellness, LLC
• Wellesley Wound Care LLC

• Occupational Therapist in Wellesley, MA
• Providers in Wellesley, MA by specialty
• Occupational Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.

Verify at the official NPI Registry.