Active NPI
John Stockbridge
- Occupational Therapist
- Quincy, MA
National Provider Identifier
1821888637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OTL36043
- Practice address
- 164 Parkingway
Quincy, MA 02169-5020 - Phone
- (617) 773-4222
- NPI assigned
- May 7, 2025
- Last updated
- May 7, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OTL36043 | MA | Primary |
| Physical Rehabilitation Occupational Therapist | 225XP0019X | OTL36043 | MA |
Addresses
Primary practice location
164 Parkingway
Quincy, MA 02169-5020
Mailing address
39 Church St
Milton, MA 02186-5511
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 |
|---|---|---|---|
| OTL36043 | MA | MD | Physical Rehabilitation Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746576000000",
"number": "1821888637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 CHURCH ST",
"city": "MILTON",
"state": "MA",
"postal_code": "021865511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "164 PARKINGWAY",
"city": "QUINCY",
"state": "MA",
"postal_code": "021695020",
"telephone_number": "617-773-4222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOCKBRIDGE",
"first_name": "JOHN",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2025-05-07",
"last_updated": "2025-05-07",
"certification_date": "2025-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "OTL36043",
"primary": true
},
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "MA",
"license": "OTL36043",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Quincy, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.