NPI Code Detail JSON Logo

1093723884 NPI number — MARIA PERNA O.T.

NPI Number: 1093723884
Health Care Provider/Practitioner: MARIA PERNA O.T.

Information about “1093723884” NPI (MARIA PERNA O.T.) exists in 1093723884 in HTML format HTML  |  1093723884 in plain Text format TXT  |  1093723884 in PDF (Portable Document Format) PDF  |  1093723884 in an XML format XML  formats.

NPI Number : 1093723884 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1093723884",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PERNA",
    "FirstName": "MARIA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "O.T.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "12 SAMUEL FULLER RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "KINGSTON",
    "MailingAddressStateName": "MA",
    "MailingAddressPostalCode": "02364-1872",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "225 WATER ST",
    "SecondLinePracticeLocationAddress": "SUITE C104, BUILDING C",
    "PracticeLocationAddressCityName": "PLYMOUTH",
    "PracticeLocationAddressStateName": "MA",
    "PracticeLocationAddressPostalCode": "02360-4060",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "508-746-4434",
    "PracticeLocationAddressFaxNumber": "508-746-4432",
    "EnumerationDate": "08/04/2006",
    "LastUpdateDate": "03/29/2011",
    "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": "1937",
        "LicenseNumberStateCode": "MA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.