Marc Abbott

Individual provider Active NPI Pediatric Occupational Therapist · Weymouth, MA

NPI 1790839652 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1790839652
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Occupational Therapist 225XP0200X
License
7700 (MA)
Practice address
163 Libbey Industrial Pkwy
Suite 302
Weymouth, MA 02189-3137
Phone
(781) 335-6663
Fax
(781) 335-6686
NPI assigned
Jan 22, 2007
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
South Shore Therapies Pediatrics Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 7700 MA Yes

Addresses

Primary practice location

163 Libbey Industrial Pkwy
Suite 302
Weymouth, MA 02189-3137

Mailing address

35 Lone Pine Path
Weymouth, MA 02188-1416
Phone (781) 335-6663

Other identifiers

IdentifierTypeStateIssuer
OT0165OtherMABCBS PROVIDER ID

Other providers in Weymouth, MA

All providers in Weymouth, MA · Pediatric Occupational Therapist in Massachusetts

Sources for this page

Verify at the official NPI Registry.