# EXCEL ORTHOPAEDIC SPECIALISTS INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EXCEL ORTHOPAEDIC SPECIALISTS INC
- **Other names:** Excel Orthopedic OT
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1104033836
- **Legal business name:** EXCEL ORTHOPAEDIC SPECIALISTS INC
- **Authorized official:** KAREN IANNICIELLO (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (781) 782-1300

## Contact information

- **Practice address:** 200 UNICORN PARK DR STE 201, WOBURN, MA 01801-3342
- **Practice address phone:** (781) 782-1300
- **Practice address fax:** (781) 782-1350
- **Mailing address:** 200 UNICORN PARK DR STE 201, WOBURN, MA 01801-3342
- **Mailing address phone:** (781) 782-1300
- **Mailing address fax:** (781) 782-1350

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |

## Other

- **Enumeration date:** 05/16/2007
- **Last updated:** 05/27/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | OG0008 | BLUE SHIELD GROUP NUMBER | MA |