Active NPI
Mary E Demarco, COTAL CMT
- Occupational Therapy Assistant
- Burlington, MA
National Provider Identifier
1942419585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 865
- Practice address
- 3 Burlington Woods
Suite 304
Burlington, MA 01803-4514 - Phone
- (781) 270-0222
- Fax
- (781) 270-5005
- NPI assigned
- May 21, 2007
- 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 Therapy Assistant | 224Z00000X | 865 | MA | Primary |
Addresses
Primary practice location
3 Burlington Woods
Suite 304
Burlington, MA 01803-4514
Mailing address
946 Great Plain Ave
PMB 361
Needham, MA 02492-3030
Phone (617) 780-1579
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 |
|---|---|---|---|
| 865 | MA | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1942419585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "946 GREAT PLAIN AVE",
"address_2": "PMB 361",
"city": "NEEDHAM",
"state": "MA",
"postal_code": "024923030",
"telephone_number": "617-780-1579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 BURLINGTON WOODS",
"address_2": "SUITE 304",
"city": "BURLINGTON",
"state": "MA",
"postal_code": "018034514",
"telephone_number": "781-270-0222",
"fax_number": "781-270-5005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMARCO",
"first_name": "MARY",
"middle_name": "E",
"name_prefix": "Ms.",
"credential": "COTAL CMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "MA",
"license": "865",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.