Active NPIIndividual provider

Mr. Jason Demoranville

Occupational Therapy Assistant in Fairhaven, Massachusetts

NPI Number1720625262
Practice location
62 Center St, Fairhaven, MA 02719-3823
Fax
—
Last updated
December 3, 2019

Jason Demoranville is an Occupational Therapy Assistant based in Fairhaven, MA. Jason Demoranville practices in Fairhaven, MA. The NPI Number for Jason Demoranville is 1720625262 and holds a License No. 7603 (MA). The current practice location address for Jason Demoranville is 62 Center St, Fairhaven, MA 02719-3823 and can be reached out via phone at 508-992-6278.

Provider Profile Details

NPI Number
1720625262
Provider Name
Jason Demoranville
Provider Entity Type
Individual
Gender
Male
Address
62 Center St, Fairhaven, MA 02719-3823
Phone Number
508-992-6278
Primary Taxonomy
Occupational Therapy Assistant · 224Z00000X
Sole Proprietor
No
Provider Enumeration Date
December 3, 2019
Last Update Date
December 3, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
62 Center St
Fairhaven, MA 02719-3823
Zip
02719-3823
Phone Number
508-992-6278
Fairhaven, MA 02719Get directions →

Provider Business Mailing Address Details

Address
138 Main St Apt 7
Fairhaven, MA 02719-3139
City
Fairhaven
State
MA
Zip
02719-3139
Phone Number
703-915-9800

License Information

License Number (1)
7603
License State (1)
MA
Taxonomy (1)
Massage Therapist · 225700000X
License Number (2)
3468
License State (2)
MA
Taxonomy (2)
Occupational Therapy Assistant · 224Z00000X · 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 Mr. Jason Demoranville?

The NPI number of Mr. Jason Demoranville is 1720625262. It was assigned on December 3, 2019 and is currently active in the NPPES registry.

What is the specialty of Mr. Jason Demoranville?

Mr. Jason Demoranville is registered under the primary taxonomy Occupational Therapy Assistant (code 224Z00000X), licensed in MA under license number 7603.

Where does Mr. Jason Demoranville practice?

The practice location is 62 Center St, Fairhaven, MA 02719-3823. The office can be reached at 508-992-6278 (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 1720625262 directly on the NPPES registry website.

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