Active NPI
Michelle Forfa, OTD, OTR/L
- Occupational Therapist
- Agawam, MA
National Provider Identifier
1831768175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 9711
- Practice address
- 147 Edgewater Rd
Agawam, MA 01001-2381 - Phone
- (413) 883-0230
- NPI assigned
- Jun 22, 2021
- 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 | 9711 | MA | Primary |
Addresses
Primary practice location
147 Edgewater Rd
Agawam, MA 01001-2381
Mailing address
147 Edgewater Rd
Agawam, MA 01001-2381
Phone (413) 883-0230
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | n/a |
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 |
|---|---|---|---|
| 9711 | MA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624320000000",
"number": "1831768175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "147 EDGEWATER RD",
"city": "AGAWAM",
"state": "MA",
"postal_code": "010012381",
"telephone_number": "413-883-0230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "147 EDGEWATER RD",
"city": "AGAWAM",
"state": "MA",
"postal_code": "010012381",
"telephone_number": "413-883-0230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORFA",
"first_name": "MICHELLE",
"credential": "OTD, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-22",
"last_updated": "2021-06-22",
"certification_date": "2021-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "9711",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "n/a",
"affiliation": "N",
"address_1": "147 Edgewater Rd",
"city": "Agawam",
"state": "MA",
"country_code": "US",
"postal_code": "010012381",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Agawam, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.