Active NPI
Mary Caroline Laurita, OT, OTD, OTR
- Occupational Therapist
- Wakefield, MA
National Provider Identifier
1821833922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 15372
- Practice address
- 607 North Ave
Wakefield, MA 01880-1322 - Phone
- (781) 245-4446
- NPI assigned
- Jun 28, 2024
- 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 | 15372 | MA | Primary |
Addresses
Primary practice location
607 North Ave
Wakefield, MA 01880-1322
Mailing address
215 Harvard St Unit 17
Medford, MA 02155-6259
Phone (973) 590-6286
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 |
|---|---|---|---|
| 15372 | MA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719532800000",
"number": "1821833922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 HARVARD ST UNIT 17",
"city": "MEDFORD",
"state": "MA",
"postal_code": "021556259",
"telephone_number": "973-590-6286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "607 NORTH AVE",
"city": "WAKEFIELD",
"state": "MA",
"postal_code": "018801322",
"telephone_number": "781-245-4446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAURITA",
"first_name": "MARY",
"middle_name": "CAROLINE",
"name_prefix": "Dr.",
"credential": "OT, OTD, OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-28",
"last_updated": "2024-06-28",
"certification_date": "2024-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "15372",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wakefield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.