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1083508543 NPI number — MEAGHAN ELISABETH MACZKO MOT, OTR/L

NPI Number: 1083508543
Health Care Provider/Practitioner: MEAGHAN ELISABETH MACZKO MOT, OTR/L

Information about “1083508543” NPI (MEAGHAN ELISABETH MACZKO MOT, OTR/L) exists in 1083508543 in HTML format HTML  |  1083508543 in plain Text format TXT  |  1083508543 in PDF (Portable Document Format) PDF  |  1083508543 in an XML format XML  formats.

NPI Number : 1083508543 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1083508543",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MACZKO",
    "FirstName": "MEAGHAN",
    "MiddleName": "ELISABETH",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MOT, OTR/L",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "LAWRENCE",
    "OtherFirstName": "MEAGHAN",
    "OtherMiddleName": "ELISABETH",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "31 WALTER ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WARWICK",
    "MailingAddressStateName": "RI",
    "MailingAddressPostalCode": "02889-1321",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "401-714-9169",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1 OFFICE PKWY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "EAST PROVIDENCE",
    "PracticeLocationAddressStateName": "RI",
    "PracticeLocationAddressPostalCode": "02914-1643",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "508-203-6004",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/06/2025",
    "LastUpdateDate": "06/06/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "225X00000X",
        "TaxonomyName": "Occupational Therapist",
        "LicenseNumber": "OT02369",
        "LicenseNumberStateCode": "RI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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