Active NPI
Abigail Stark, OTR/L
- Occupational Therapist
- North Dartmouth, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OTL15279
- Practice address
- 375 Faunce Corner Rd Ste C
North Dartmouth, MA 02747-1258 - Phone
- (774) 425-7906
- NPI assigned
- Nov 20, 2024
- 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 | OTL15279 | MA | Primary |
Addresses
Primary practice location
375 Faunce Corner Rd Ste C
North Dartmouth, MA 02747-1258
Mailing address
703 Granite St Ste 3
Braintree, MA 02184-5350
Phone (781) 807-6138
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241125004364 | MA | Practitioner - Occupational Therapist in Private Practice | 9739614959 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bay State Physical Therapy of Randolph Inc
Practice addresses (Care Compare)
375 Faunce Corner Rd
Suite C
North Dartmouth, MA 02747-1258
Phone (774) 425-7911
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTL15279 | MA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay State Physical Therapy of Randolph Inc | Occupational Therapist | Current | Accepting new patients |
| Bay State Physical Therapy of Randolph Inc | Occupational Therapist | Current | Accepting new patients |
Locations
703 Granite St
Ste 3
Braintree, MA 02184
375 Faunce Corner Rd
Ste C
North Dartmouth, MA 02747
Phone (774) 425-7906
1343 Providence Hwy
Norwood, MA 02062
Phone (781) 702-1339
Organizations & group practices 3
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.
-
- Physical Therapist
- Fall River, MA
- NPI 1164474334
MA, Occupational Therapist
-
- Physical Therapist
- Concord, NH
- NPI 1245340934
-
- Physical Therapist
- Franklin, MA
- NPI 1821108549
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732060800000",
"number": "1851116248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "703 GRANITE ST STE 3",
"city": "BRAINTREE",
"state": "MA",
"postal_code": "021845350",
"telephone_number": "781-807-6138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 FAUNCE CORNER RD STE C",
"city": "NORTH DARTMOUTH",
"state": "MA",
"postal_code": "027471258",
"telephone_number": "774-425-7906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STARK",
"first_name": "ABIGAIL",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-20",
"last_updated": "2024-11-20",
"certification_date": "2024-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "OTL15279",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Dartmouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.