Active NPI
Dana L Pendleton, M.S. OT
- Occupational Therapist
- Worcester, MA
National Provider Identifier
1912336074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 11075
- Practice address
- 548 Park Ave
Worcester, MA 01603-2537 - Phone
- (774) 823-1500
- NPI assigned
- Nov 8, 2013
- 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 | 11075 | MA | Primary |
Addresses
Primary practice location
548 Park Ave
Worcester, MA 01603-2537
Mailing address
526 Gleasondale Rd
Stow, MA 01775-1437
Phone (774) 239-3572
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11075 | MA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776643200000",
"number": "1912336074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "526 GLEASONDALE RD",
"city": "STOW",
"state": "MA",
"postal_code": "017751437",
"telephone_number": "774-239-3572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "548 PARK AVE",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016032537",
"telephone_number": "774-823-1500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENDLETON",
"first_name": "DANA",
"middle_name": "L",
"credential": "M.S. OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-08",
"last_updated": "2026-04-20",
"certification_date": "2026-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "11075",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.