Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ani Avaneszadeh, OTR/L

Individual provider Occupational Therapist · NPI 1417543968

Ani Avaneszadeh, OTR/L is an Occupational Therapist in Jamaica Plain, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2020.

Licensed in
MA
In the registry since
2020
Specialties on file
2
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

170 Morton St
Jamaica Plain, MA 02130-3735
Phone: (703) 635-5880
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 14004 (MA)
Occupational Therapist Taxonomy 225X00000X

Record details

NPI number1417543968
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedDecember 18, 2020
Last updated in NPPESDecember 9, 2024
Certification dateDecember 9, 2024

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