Individual provider Active NPI

Ashley Marie Tarentino, MS OTR/L

  • Pediatric Occupational Therapist
  • Wakefield, MA
National Provider Identifier
1902354566
Registry record updated Sep 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
12050 Issued in MA
Practice address
607 North Ave
#14
Wakefield, MA 01880-1322
Phone
(781) 245-4446
NPI assigned
Sep 13, 2016
Last updated
Sep 13, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 12050 MA Primary

Addresses

Primary practice location

607 North Ave
#14
Wakefield, MA 01880-1322

Mailing address

607 North Ave
#14
Wakefield, MA 01880-1322
Phone (781) 245-4446

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
12050MAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ota Kids Pediatric Therapy Pediatrics Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1473724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473724800000",
    "number": "1902354566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 NORTH AVE",
            "address_2": "#14",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018801322",
            "telephone_number": "781-245-4446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 NORTH AVE",
            "address_2": "#14",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018801322",
            "telephone_number": "781-245-4446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARENTINO",
        "first_name": "ASHLEY",
        "middle_name": "MARIE",
        "credential": "MS OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-13",
        "last_updated": "2016-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MA",
            "license": "12050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wakefield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.

Verify at the official NPI Registry.