Individual provider Active NPI

Emma Magliarditi, OTR/L

  • Occupational Therapist
  • Newton, MA
National Provider Identifier
1770282329
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
14714 Issued in MA
Practice address
74 Bridge St
Newton, MA 02458-1147
Phone
(617) 969-4410
NPI assigned
Mar 2, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 14714 MA Primary

Addresses

Primary practice location

74 Bridge St
Newton, MA 02458-1147

Mailing address

40 Leonard St
Waltham, MA 02451-3759
Phone (781) 330-8969

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240930000450 MA Practitioner - Occupational Therapist in Private Practice 4082145206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proex Physical Therapy LLCGroup PAC ID 0345212395, 166 clinicians

Practice addresses (Care Compare)

19 -31 Needham St
Newton, MA 02461-1615
Phone (617) 303-0455

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14714MAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ota the Koomar Center, LLC CurrentSince Mar 5, 2023 Accepting new patients
Proex Physical Therapy, LLC Occupational Therapist CurrentSince Sep 9, 2024 Accepting new patients
Occupational Therapy Associates - Watertown, Inc. CurrentSince Feb 25, 2024 Accepting new patients
Proex Physical Therapy, LLC Occupational Therapist CurrentSince Sep 9, 2024 Accepting new patients

Locations

10 High St
Ste 303
Boston, MA 02110
Phone (617) 542-6999

1300 Soldiers Field Rd
Boston, MA 02135
Phone (857) 240-0931

19 Needham St
Ste 201
Newton, MA 02461
Phone (617) 213-1350

74 Bridge St
Newton, MA 02458
Phone (617) 969-4410

576 Broadhollow Rd
Melville, NY 11747

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1677715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1770282329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 LEONARD ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024513759",
            "telephone_number": "781-330-8969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 BRIDGE ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024581147",
            "telephone_number": "617-969-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGLIARDITI",
        "first_name": "EMMA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-02",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "14714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.