DEDHAM MEDICAL ASSOCIATES, INC (NPI# 1821336827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821336827 |
| Entity Type | Organization |
| Organization Name | DEDHAM MEDICAL ASSOCIATES, INC |
| Practice Address |
1 Lyons St Dedham MA 02026-5599 |
| Practice Telephone | 7813291400 |
| Practice Fax Number | 7813298470 |
| Mailing Telephone | 7813291400 |
| Mailing Fax Number | 7813298470 |
| Enumeration Date | 2013-01-25 |
| Last Update Date | 2013-01-25 |
| Authorized Official Name | SUSAN KERNAN (CREDENTIALING REP) |
| Authorized Official Telephone | 7812785511 |
| Is Organization Subpart | Y |
| Parent Organization Name | DEDHAM MEDICAL ASSOCIATES, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659306942 | Dedham Medical Associates, Inc | Orthopaedic Surgery | One Lyons Street, Dedham, MA 02026 | 2006-07-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | DEDHAM MEDICAL ASSOCIATES, INC. | 743 High St, Dedham, MA 02026 |
| Street Address |
1 LYONS ST |
| City | DEDHAM |
| State | MA |
| Zip Code | 02026-5599 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780680488 | Michael S Shusterman | Pediatrics | 1 Lyons St, Dedham, MA 02026-5599 | 2005-06-27 |
| 1760014732 | Kwai Ying Lam | Dietitian, Registered | 1 Lyons St, Dedham, MA 02026-5599 | 2020-02-07 |
| 1841857422 | Lauren Elizabeth Rogerson | Physical Therapist | 1 Lyons St, Dedham, MA 02026-5599 | 2019-05-20 |
| 1619453859 | Mathew Steven Sadowski | Physical Therapist | 1 Lyons St, Dedham, MA 02026-5599 | 2018-07-11 |
| 1689160269 | Brittany Thibodeau | Audiologist | 1 Lyons St, Dedham, MA 02026-5599 | 2018-07-06 |
| 1568964054 | Mario Fernando Jaramillo | Technician/Technologist | 1 Lyons St, Dedham, MA 02026-5599 | 2018-03-01 |
| 1902338023 | Laurie Cook | Technician/Technologist | 1 Lyons St, Dedham, MA 02026-5599 | 2017-03-29 |
| 1952858441 | Nicole Marie Ikeda | Physician Assistant | 1 Lyons St, Dept. of Dermatology, Dedham, MA 02026 | 2016-09-01 |
| 1982072153 | Atrius Health, Inc. | Dietitian, Registered | 1 Lyons St, Dedham, MA 02026-5599 | 2015-09-04 |
| 1336521319 | Michael Tanzi | Technician/Technologist | 1 Lyons St, Dedham, MA 02026-5599 | 2015-06-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649879651 | Convenientmd LLC | Clinic/Center | 983 Boston-providence Turnpike, Dedham, MA 02026 | 2020-10-21 |
| 1497354674 | Lifetime Physical Therapy | Physical Therapist | 453 Sprague St, Dedham, MA 02026 | 2020-10-20 |
| 1164060067 | Healthy Healing Home Care Agency LLC | In Home Supportive Care | 3 Allied Dr Suite 303, Dedham, MA 02026 | 2019-12-11 |
| 1689149023 | Alyssa Michel | Counselor | 20 E Astbrook Rd, Suite 104, Dedham, MA 02026 | 2018-10-12 |
| 1467968800 | Joshua A Helm | Chiropractor | 200 Boston Providence Highway, Suite #206, Dedham, MA 02026 | 2017-12-21 |
| 1598283848 | Jason Peltier | Physical Therapist | 606 Providence Highway, Dedham, MA 02026 | 2017-09-07 |
| 1558883371 | Padme Physical Therpay | Clinic/Center | 227 Legacy Place Boulevard, Stil Studio, Dedham, MA 02026 | 2017-07-13 |
| 1851828107 | Pm Pediatrics of New England | Pediatrics | 719 Providence Highway, Dedham, NY 02026 | 2017-05-17 |
| 1740715846 | Stil Legacy Dedham | Physical Therapist | 227 Legacy Place, Dedham, MA 02026 | 2017-04-26 |
| 1053856310 | Donald Hughes | Social Worker | 270 Bridge Street, Suite 301, Dedham, MA 02026 | 2016-12-22 |
| Find all providers in zip 02026 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891140786 | Katelyn Girouard | Occupational Therapist | 7 E Riverside Dr, Dedham, MA 02026-6920 | 2016-04-27 |
| 1881988129 | Jane W. Mcnamara | Occupational Therapist | 66 Berlin St, Dedham, MA 02026-2341 | 2011-06-03 |
| 1538795794 | Nicole Anne Sullivan | Occupational Therapist | 7000 Great Meadow Rd, Dedham, MA 02026-4090 | 2020-03-19 |
| 1881047645 | Laura Rowan | Occupational Therapist | 606 Providence Hwy, Dedham, MA 02026-6804 | 2016-07-18 |
| 1245610278 | Atrius Health, Inc. | Occupational Therapist | 1 Lyons St, Dedham, MA 02026-5599 | 2015-06-04 |
| 1588050512 | Atrius Health, Inc. | Occupational Therapist | 1 Lyons St, Dedham, MA 02026-5599 | 2015-04-07 |
| 1730497538 | Drac Physical Therapy, Inc. | Occupational Therapist | 200 Providence Hwy, Dedham, MA 02026-1881 | 2010-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336749605 | Move for Life Physical Therapy LLC | Occupational Therapist | 253 Washington Street, Assist Living Facility, Hudson, MA 01749-0174 | 2020-10-27 |
| 1982201307 | Carolyn Marie D'olympio | Occupational Therapist | 5 Central St, Wakefield, MA 01880-1701 | 2020-10-08 |
| 1245844240 | Samantha Elizabeth Colaw | Occupational Therapist | 148 Old Schoolhouse Ln, Hanover, MA 02339-1356 | 2020-09-07 |
| 1013520295 | Clare Marie Brabson | Occupational Therapist | 18 Saint John St Apt 1r, Jamaica Plain, MA 02130-2517 | 2020-08-26 |
| 1770192866 | Paige Burwell Spence-berthiaume | Occupational Therapist | 52 Boyden Rd Unit 209, Holden, MA 01520-2592 | 2020-07-24 |
| 1487262523 | Gretchen Segers | Occupational Therapist | 45 Gordon St, Somerville, MA 02144-1109 | 2020-07-15 |
| 1588281794 | Rebekah Whitener | Occupational Therapist | 163 Summer St Apt 33, Somerville, MA 02143-2627 | 2020-07-03 |
| 1184248973 | Meredith J Cohen | Occupational Therapist | 20 Maxim Pl, Quincy, MA 02169-3528 | 2020-06-08 |
| 1043834195 | Jennifer Phillips | Occupational Therapist | 1 Keefe Ave, Newton, MA 02464-1316 | 2020-06-04 |
| 1124647730 | Diane Willette Walker | Occupational Therapist | 179 Baldwin Rd, Billerica, MA 01821-3013 | 2020-04-14 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.