Active NPIIndividual providerSole proprietor

Andrea Shaw

Occupational Therapist, Pediatrics in Gloucester, Massachusetts

NPI Number1275929283
Practice location
18 Western Ave, Gloucester, MA 01930-3665
Fax
—
Last updated
August 23, 2016

Andrea Shaw is an Occupational Therapist, Pediatrics based in Gloucester, MA. Andrea Shaw practices in Gloucester, MA. The NPI Number for Andrea Shaw is 1275929283 and holds a License No. 11505 (MA). The current practice location address for Andrea Shaw is 18 Western Ave, Gloucester, MA 01930-3665 and can be reached out via phone at 802-779-4606.

Provider Profile Details

NPI Number
1275929283
Provider Name
Andrea Shaw
Provider Entity Type
Individual
Gender
Female
Address
18 Western Ave, Gloucester, MA 01930-3665
Phone Number
802-779-4606
Primary Taxonomy
Occupational Therapist, Pediatrics · 225XP0200X
Sole Proprietor
Yes
Provider Enumeration Date
April 7, 2015
Last Update Date
August 23, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
18 Western Ave
Gloucester, MA 01930-3665
Zip
01930-3665
Phone Number
802-779-4606
Gloucester, MA 01930Get directions →

Provider Business Mailing Address Details

Address
18 Western Ave
Gloucester, MA 01930-3665
City
Gloucester
State
MA
Zip
01930-3665
Phone Number
802-779-4606

License Information

License Number
11505
License State
MA
Taxonomy
Occupational Therapist, Pediatrics · 225XP0200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Andrea Shaw?

The NPI number of Andrea Shaw is 1275929283. It was assigned on April 7, 2015 and is currently active in the NPPES registry.

What is the specialty of Andrea Shaw?

Andrea Shaw is registered under the primary taxonomy Occupational Therapist, Pediatrics (code 225XP0200X), licensed in MA under license number 11505.

Where does Andrea Shaw practice?

The practice location is 18 Western Ave, Gloucester, MA 01930-3665. The office can be reached at 802-779-4606 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1275929283 directly on the NPPES registry website.

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