Active NPI
Elonna Jean Falk, OTR/L
- Occupational Therapist
- Boston, MA
National Provider Identifier
1871043257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 12116
- Practice address
- 185 Harrison Ave
Boston, MA 02111-1804 - Phone
- (617) 636-4722
- NPI assigned
- Oct 10, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 | 12116 | MA | Primary |
Addresses
Primary practice location
185 Harrison Ave
Boston, MA 02111-1804
Mailing address
38 Eddy St Unit 3
Waltham, MA 02453-7700
Phone (941) 456-8373
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 |
|---|---|---|---|
| 12116 | MA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476057600000",
"number": "1871043257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38 EDDY ST UNIT 3",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024537700",
"telephone_number": "941-456-8373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 HARRISON AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "021111804",
"telephone_number": "617-636-4722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FALK",
"first_name": "ELONNA",
"middle_name": "JEAN",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-10",
"last_updated": "2016-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "12116",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.