Individual provider Active NPI

Alison Fialho, OTR/L

  • Occupational Therapist
  • Peabody, MA
National Provider Identifier
1982931887
Registry record updated Nov 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
6258 Issued in MA
Practice address
302 Brooksby Village Dr
Outpatient Rehabilitation Clinic
Peabody, MA 01960-8563
Phone
(978) 536-7980
Fax
(978) 536-7927
NPI assigned
Nov 13, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 6258 MA Primary

Addresses

Primary practice location

302 Brooksby Village Dr
Outpatient Rehabilitation Clinic
Peabody, MA 01960-8563

Mailing address

302 Brooksby Village Dr
Outpatient Rehabilitation Clinic
Peabody, MA 01960-8563
Phone (978) 536-7980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211101002681 MA Practitioner - Occupational Therapist in Private Practice 4688062276 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1997
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7 Carnegie PLZ
Cherry Hill, NJ 08003-1000

7 Clyde Rd
Somerset, NJ 08873-5049

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6258MAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehab Ma LLC Occupational Therapist CurrentSince Sep 1, 2021 Accepting new patients
Brooksby Village Inc Past Accepting new patients
Brooksby Village Inc. Past Accepting new patients

Locations

303 Wyman St
Ste 300
Waltham, MA 02451
Phone (781) 330-0577

7 Carnegie Plz
Cherry Hill, NJ 08003

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1258070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258070400000",
    "number": "1982931887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 BROOKSBY VILLAGE DR",
            "address_2": "OUTPATIENT REHABILITATION CLINIC",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019608563",
            "telephone_number": "978-536-7980",
            "fax_number": "978-536-7927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 BROOKSBY VILLAGE DR",
            "address_2": "OUTPATIENT REHABILITATION CLINIC",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019608563",
            "telephone_number": "978-536-7980",
            "fax_number": "978-536-7927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIALHO",
        "first_name": "ALISON",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-13",
        "last_updated": "2009-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "6258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peabody, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.