Active NPIIndividual provider

Ani Avaneszadeh, OTR/L

Occupational Therapist in Jamaica Plain, Massachusetts

NPI Number1417543968
Practice location
170 Morton St, Jamaica Plain, MA 02130-3735
Fax
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Last updated
December 9, 2024

Ani Avaneszadeh is an Occupational Therapist based in Jamaica Plain, MA. Ani Avaneszadeh practices in Jamaica Plain, MA and has the professional credentials of OTR/L. The NPI Number for Ani Avaneszadeh is 1417543968 and holds a License No. 14004 (MA). The current practice location address for Ani Avaneszadeh is 170 Morton St, Jamaica Plain, MA 02130-3735 and can be reached out via phone at 703-635-5880.

Provider Profile Details

NPI Number
1417543968
Provider Name
Ani Avaneszadeh
Credential
OTR/L
Provider Entity Type
Individual
Gender
Female
Address
170 Morton St, Jamaica Plain, MA 02130-3735
Phone Number
703-635-5880
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
No
Provider Enumeration Date
December 18, 2020
Last Update Date
December 9, 2024
Certification Date
December 9, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
170 Morton St
Jamaica Plain, MA 02130-3735
Zip
02130-3735
Phone Number
703-635-5880
Jamaica Plain, MA 02130Get directions →

Provider Business Mailing Address Details

Address
271 Boston Ave Unit 1
Medford, MA 02155-5226
City
Medford
State
MA
Zip
02155-5226
Phone Number
703-635-5880

License Information

License Number (1)
14004
License State (1)
MA
Taxonomy (1)
Occupational Therapist · 225X00000X · Primary
Taxonomy (2)
Occupational Therapist · 225X00000X

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 Ani Avaneszadeh, OTR/L?

The NPI number of Ani Avaneszadeh, OTR/L is 1417543968. It was assigned on December 18, 2020 and is currently active in the NPPES registry.

What is the specialty of Ani Avaneszadeh, OTR/L?

Ani Avaneszadeh, OTR/L is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in MA under license number 14004.

Where does Ani Avaneszadeh, OTR/L practice?

The practice location is 170 Morton St, Jamaica Plain, MA 02130-3735. The office can be reached at 703-635-5880 (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 1417543968 directly on the NPPES registry website.

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