Individual provider Active NPI

Abigail Anne Callery, M.S. OTR/L

  • Pediatric Occupational Therapist
  • Winthrop, MA
National Provider Identifier
1932785458
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
13887 Issued in MA
Practice address
911 Shirley St Unit 1
Winthrop, MA 02152-2517
Phone
(857) 816-9078
NPI assigned
Mar 23, 2021
Last updated
Mar 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2021

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 13887 MA Primary

Addresses

Primary practice location

911 Shirley St Unit 1
Winthrop, MA 02152-2517

Mailing address

68 Robert St Apt 3
Attleboro, MA 02703-3748
Phone (203) 788-1169

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
13887MAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1932785458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 ROBERT ST APT 3",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027033748",
            "telephone_number": "203-788-1169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 SHIRLEY ST UNIT 1",
            "city": "WINTHROP",
            "state": "MA",
            "postal_code": "021522517",
            "telephone_number": "857-816-9078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLERY",
        "first_name": "ABIGAIL",
        "middle_name": "ANNE",
        "credential": "M.S. OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-23",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MA",
            "license": "13887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winthrop, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; 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.