Active NPI
Wan Chen K Graham, M.A., O.T.R./L.
- Occupational Therapist
- Boston, MA
National Provider Identifier
1962670513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 9516
- Practice address
- 125 Parker Hill Ave
Converse 7
Boston, MA 02120 - Phone
- (617) 754-5662
- Fax
- (617) 754-6636
- NPI assigned
- Feb 18, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 7996 | CA | |
| Occupational Therapist | 225X00000X | 9516 | MA | Primary |
Addresses
Primary practice location
125 Parker Hill Ave
Converse 7
Boston, MA 02120
Mailing address
125 Parker Hill Ave
Converse 7
Boston, MA 02120
Phone (617) 754-5662
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9516 | MA | MD | Group Psychotherapy Psychologist |
| 7996 | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221523200000",
"number": "1962670513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 PARKER HILL AVE",
"address_2": "CONVERSE 7",
"city": "BOSTON",
"state": "MA",
"postal_code": "02120",
"telephone_number": "617-754-5662",
"fax_number": "617-754-6636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 PARKER HILL AVE",
"address_2": "CONVERSE 7",
"city": "BOSTON",
"state": "MA",
"postal_code": "02120",
"telephone_number": "617-754-5662",
"fax_number": "617-754-6636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "WAN CHEN",
"middle_name": "K",
"credential": "M.A., O.T.R./L.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-18",
"last_updated": "2008-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "7996",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "9516",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.