Active NPI
Ilene Meryl Greenwald, OTR/L
- Low Vision Occupational Therapist
- Newton, MA
National Provider Identifier
1922377530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Low Vision Occupational Therapist
- License
- 2246
- Practice address
- 333 Nahanton Street
Newton, MA 02459 - Phone
- (617) 630-9010
- Fax
- (617) 517-9160
- NPI assigned
- Dec 28, 2011
- Last updated
- Nov 27, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Low Vision Occupational Therapist | 225XL0004X | 2246 | MA | Primary |
Addresses
Primary practice location
333 Nahanton Street
Newton, MA 02459
Mailing address
53 Oak Hill Dr
Sharon, MA 02067-2308
Phone (617) 630-9010
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2246 | MA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511740800000",
"number": "1922377530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53 OAK HILL DR",
"city": "SHARON",
"state": "MA",
"postal_code": "020672308",
"telephone_number": "617-630-9010",
"fax_number": "617-517-9160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 NAHANTON STREET",
"city": "NEWTON",
"state": "MA",
"postal_code": "02459",
"telephone_number": "617-630-9010",
"fax_number": "617-517-9160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENWALD",
"first_name": "ILENE",
"middle_name": "MERYL",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-28",
"last_updated": "2017-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "225XL0004X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Low Vision",
"state": "MA",
"license": "2246",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.