Active NPI
Janice P Wilson, OTR/L
- Occupational Therapist
- Northampton, MA
National Provider Identifier
1790101236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 11120
- Practice address
- 8 Hockanum Rd
Unit 1
Northampton, MA 01060-2531 - Phone
- (413) 341-3859
- NPI assigned
- Mar 7, 2014
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 11120 | MA | Primary |
Addresses
Primary practice location
8 Hockanum Rd
Unit 1
Northampton, MA 01060-2531
Mailing address
8 Hockanum Rd
Unit 1
Northampton, MA 01060-2531
Phone (413) 341-3859
Other names 1
- Miss Janice Susan Petersen
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394150400000",
"number": "1790101236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 HOCKANUM RD",
"address_2": "UNIT 1",
"city": "NORTHAMPTON",
"state": "MA",
"postal_code": "010602531",
"telephone_number": "413-341-3859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 HOCKANUM RD",
"address_2": "UNIT 1",
"city": "NORTHAMPTON",
"state": "MA",
"postal_code": "010602531",
"telephone_number": "413-341-3859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "JANICE",
"middle_name": "P",
"name_prefix": "Ms.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-07",
"last_updated": "2014-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "11120",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JANICE",
"last_name": "PETERSEN",
"middle_name": "SUSAN",
"prefix": "MISS",
"credential": "OTR/L",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Northampton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.