Organization Active NPI

Live Well Occupational Therapy, PLLC

  • Mental Health Occupational Therapist
  • Needham, MA
National Provider Identifier
1972322816
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Occupational TherapistTaxonomy code 225XM0800X
Legal business name
LIVE WELL OCCUPATIONAL THERAPY, PLLC
Practice address
80 Rosemary St
Needham, MA 02494-3266
Phone
(617) 902-0550
NPI assigned
Oct 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jade Larochelle, OT, OTDNPI 1417581364
Title
Occupational Therapist
Phone
(617) 902-0550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XM0800X Primary

Addresses

Primary practice location

80 Rosemary St
Needham, MA 02494-3266

Mailing address

80 Rosemary St
Needham, MA 02494-3266
Phone (617) 902-0550

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1728345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728345600000",
    "number": "1972322816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 ROSEMARY ST",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024943266",
            "telephone_number": "617-902-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 ROSEMARY ST",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024943266",
            "telephone_number": "617-902-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE WELL OCCUPATIONAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-08",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A",
        "authorized_official_last_name": "LAROCHELLE",
        "authorized_official_first_name": "JADE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "617-902-0550",
        "authorized_official_credential": "OT, OTD"
    },
    "taxonomies": [
        {
            "code": "225XM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Needham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.