Active NPI
Elise Mansfield, OTR/L
- Occupational Therapist
- Woburn, MA
National Provider Identifier
1770729600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 09748
- Practice address
- 10J Gill St
Woburn, MA 01801-1721 - Phone
- (781) 932-9808
- NPI assigned
- Dec 23, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 09748 | MA | Primary |
Addresses
Primary practice location
10J Gill St
Woburn, MA 01801-1721
Mailing address
32 Putnam Ave
Apt 3
Cambridge, MA 02139-2920
Phone (781) 223-8095
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 |
|---|---|---|---|
| 09748 | MA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229990400000",
"number": "1770729600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 PUTNAM AVE",
"address_2": "APT 3",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021392920",
"telephone_number": "781-223-8095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10J GILL ST",
"city": "WOBURN",
"state": "MA",
"postal_code": "018011721",
"telephone_number": "781-932-9808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANSFIELD",
"first_name": "ELISE",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-12-23",
"last_updated": "2008-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "09748",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woburn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.