Unknown Individual – Occupational Therapy Assistant, NPI 1790980282

Unknown Individual is a healthcare provider. based in West roxbury, Massachusetts. specializing in Occupational Therapy Assistant. They hold a License No. 2899 (MA). The NPI Number for Unknown Individual is 1790980282

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1790980282
Phone
(617) 591-4276
Address
9 BRONX RD
Deactivation Date
14 August 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 9, Bronx Road, West Roxbury, Boston, Suffolk County, Massachusetts, 02132-3226, United States

    WEST ROXBURY, MA 02132

    Phone: (617) 591-4276

    Type: Mailing

  • Somerville Hospital, 230, Highland Avenue, Spring Hill, Somerville, Middlesex County, Massachusetts, 02143, United States

    SOMERVILLE, MA 021431408

    Phone: (617) 591-4276

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02132)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1790980282 — is the standard way to identify this listing.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Occupational Therapy Assistant. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is West Roxbury, Massachusetts in our summary view.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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