Active NPI
Five Star Quality Care Braintree Rehabilitaiton Hospital
- Children's Rehabilitation Hospital
- Braintree, MA
National Provider Identifier
1861772816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Children's Rehabilitation Hospital
- License
- 6453
- Legal business name
- FIVE STAR QUALITY CARE BRAINTREE REHABILITAITON HOSPITAL
- Practice address
- 250 Pond St
Braintree, MA 02184-5351 - Phone
- (781) 380-4360
- NPI assigned
- Aug 23, 2011
- Last updated
- Aug 23, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jennifer Dieso O'Shea, MS OTR/L
- Title
- OT
- Phone
- (781) 380-4360
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Children's Rehabilitation Hospital | 283XC2000X | 6453 | MA | Primary |
Addresses
Primary practice location
250 Pond St
Braintree, MA 02184-5351
Mailing address
250 Pond St
Braintree, MA 02184-5351
Phone (781) 380-4360
National Provider Directory
National Provider Directory- Tax ID family
- Cape Cod Anesthesia Associates
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- Community/Behavioral Health Agency
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- Community/Behavioral Health Agency
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314057600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1314057600000",
"number": "1861772816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 POND ST",
"city": "BRAINTREE",
"state": "MA",
"postal_code": "021845351",
"telephone_number": "781-380-4360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 POND ST",
"city": "BRAINTREE",
"state": "MA",
"postal_code": "021845351",
"telephone_number": "781-380-4360"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIVE STAR QUALITY CARE BRAINTREE REHABILITAITON HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-23",
"last_updated": "2011-08-23",
"status": "A",
"authorized_official_last_name": "O'SHEA",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "DIESO",
"authorized_official_title_or_position": "OT",
"authorized_official_telephone_number": "781-380-4360",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MS OTR/L"
},
"taxonomies": [
{
"code": "283XC2000X",
"taxonomy_group": "",
"desc": "Rehabilitation Hospital, Children",
"state": "MA",
"license": "6453",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Braintree, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.