Individual provider Active NPI

Megan Eileen Jillella, MS, OTR/L

  • Pediatric Occupational Therapist
  • Kensington, MD
National Provider Identifier
1033343447
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
08320 Issued in MD
Practice address
5268 Nicholson LN
Kensington, MD 20895-1009
Phone
(808) 238-7357
NPI assigned
May 13, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Rehabilitation Occupational Therapist 225XP0019X OT010000632 DC
Pediatric Occupational Therapist 225XP0200X 9795 MA
Pediatric Occupational Therapist 225XP0200X 08320 MD Primary

Addresses

Primary practice location

5268 Nicholson LN
Kensington, MD 20895-1009

Mailing address

5268 Nicholson LN
Kensington, MD 20895-1009
Phone (808) 238-7357

Other practice location 1

102 Irving St NW
Washington, DC 20010-2921
Phone (202) 877-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
OT010000632DCMDPhysical Rehabilitation Occupational Therapist
9795MAMDSpeech-Language Pathologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1242172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1033343447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5268 NICHOLSON LN",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208951009",
            "telephone_number": "808-238-7357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5268 NICHOLSON LN",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208951009",
            "telephone_number": "808-238-7357"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 Irving St NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200102921",
            "country_code": "US",
            "telephone_number": "202-877-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JILLELLA",
        "first_name": "MEGAN",
        "middle_name": "EILEEN",
        "name_prefix": "Ms.",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-13",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "DC",
            "license": "OT010000632",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MA",
            "license": "9795",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MD",
            "license": "08320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kensington, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.