Active NPI
Abigail Maree Brayton-Chung, OTR/L
- Occupational Therapist
- Waltham, MA
National Provider Identifier
1851572689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 10664
- Practice address
- 465 Waverley Oaks Rd
Suite 101
Waltham, MA 02452-8438 - Phone
- (781) 894-6564
- NPI assigned
- Nov 20, 2007
- 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 | 10664 | MA | Primary |
Addresses
Primary practice location
465 Waverley Oaks Rd
Suite 101
Waltham, MA 02452-8438
Mailing address
22 Spencer St
Lexington, MA 02420-3924
Phone (720) 381-7595
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 |
|---|---|---|---|
| 10664 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428364800000",
"number": "1851572689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 SPENCER ST",
"city": "LEXINGTON",
"state": "MA",
"postal_code": "024203924",
"telephone_number": "720-381-7595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "465 WAVERLEY OAKS RD",
"address_2": "SUITE 101",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024528438",
"telephone_number": "781-894-6564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAYTON-CHUNG",
"first_name": "ABIGAIL",
"middle_name": "MAREE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-20",
"last_updated": "2015-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "10664",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waltham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.