NPIMap

Organization Active NPI

Aging in Place Mobile Therapy LLC

  • Occupational Therapist
  • Fairhaven, MA
National Provider Identifier
1902555972
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
AGING IN PLACE MOBILE THERAPY LLC
Practice address
352 Dana Farms
Fairhaven, MA 02719-3360
Phone
(774) 226-6713
NPI assigned
Mar 18, 2022
Last updated
Apr 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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

Authorized official

Name
Salimata Cisse, OTR/LNPI 1871244269
Title
Managing Member/Owner
Phone
(774) 226-6713

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Primary

Addresses

Primary practice location

352 Dana Farms
Fairhaven, MA 02719-3360

Mailing address

352 Dana Farms
Fairhaven, MA 02719-3360
Phone (774) 226-6713

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1647561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649203200000",
    "number": "1902555972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 DANA FARMS",
            "city": "FAIRHAVEN",
            "state": "MA",
            "postal_code": "027193360",
            "telephone_number": "774-226-6713",
            "fax_number": "774-204-4752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 DANA FARMS",
            "city": "FAIRHAVEN",
            "state": "MA",
            "postal_code": "027193360",
            "telephone_number": "774-226-6713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGING IN PLACE MOBILE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-18",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A",
        "authorized_official_last_name": "CISSE",
        "authorized_official_first_name": "SALIMATA",
        "authorized_official_title_or_position": "MANAGING MEMBER/OWNER",
        "authorized_official_telephone_number": "774-226-6713",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairhaven, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; 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.