Healthcare Provider Details

I. General information

NPI: 1700704830
Provider Name (Legal Business Name): EMILY ANNE BRIGGS OT, OTD, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

635 COMMONWEALTH AVE
BOSTON MA
02215-1605
US

IV. Provider business mailing address

635 COMMONWEALTH AVE
BOSTON MA
02215-1605
US

V. Phone/Fax

Practice location:
  • Phone: 617-353-2713
  • Fax:
Mailing address:
  • Phone: 617-353-2713
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XM0800X
TaxonomyMental Health Occupational Therapist
License Number13379
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: