Active NPI
Regina Gail Mastrobattista
- Occupational Therapist
- Chestnut Hill, MA
National Provider Identifier
1942857701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 13184
- Practice address
- 615 Heath St
Chestnut Hill, MA 02467-2160 - Phone
- (617) 243-9990
- NPI assigned
- Aug 26, 2019
- 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 | 13184 | MA | Primary |
Addresses
Primary practice location
615 Heath St
Chestnut Hill, MA 02467-2160
Mailing address
32 Lisa Beth Cir
Dover, NH 03820-4373
Phone (603) 812-6480
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 |
|---|---|---|---|
| 13184 | MA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566777600000",
"number": "1942857701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 LISA BETH CIR",
"city": "DOVER",
"state": "NH",
"postal_code": "038204373",
"telephone_number": "603-812-6480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 HEATH ST",
"city": "CHESTNUT HILL",
"state": "MA",
"postal_code": "024672160",
"telephone_number": "617-243-9990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASTROBATTISTA",
"first_name": "REGINA",
"middle_name": "GAIL",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-26",
"last_updated": "2019-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "MA",
"license": "13184",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chestnut Hill, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.