Active NPI
Audrie A Vantangoli, OTR/L
- Occupational Therapist
- Ware, MA
National Provider Identifier
1922720002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 10703
- Practice address
- 9 Dugan Rd
Ware, MA 01082-9702 - Phone
- (413) 885-0921
- NPI assigned
- Sep 14, 2022
- 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 | 10703 | MA | Primary |
Addresses
Primary practice location
9 Dugan Rd
Ware, MA 01082-9702
Mailing address
9 Dugan Rd
Ware, MA 01082-9702
Phone (413) 885-0921
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 |
|---|---|---|---|
| 10703 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663113600000",
"number": "1922720002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 DUGAN RD",
"city": "WARE",
"state": "MA",
"postal_code": "010829702",
"telephone_number": "413-885-0921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 DUGAN RD",
"city": "WARE",
"state": "MA",
"postal_code": "010829702",
"telephone_number": "413-885-0921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANTANGOLI",
"first_name": "AUDRIE",
"middle_name": "A",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-14",
"last_updated": "2022-09-14",
"certification_date": "2022-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "MA",
"license": "10703",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ware, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.