Matthew Patrick McKenna, OT

Primary specialty

Assistive Technology Practitioner Rehabilitation CounselorTaxonomy code 225CA2400X

License

8949 Issued in MA

Practice address

62 Lewis Rd
Belmont, MA 02478

Phone

(617) 484-8921

NPI assigned

May 16, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Matthew Patrick McKenna Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043427412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 LEWIS RD",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "02478",
            "telephone_number": "617-484-8921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 LEWIS RD",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "02478",
            "telephone_number": "617-484-8921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENNA",
        "first_name": "MATTHEW",
        "middle_name": "PATRICK",
        "name_prefix": "Mr.",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225CA2400X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor, Assistive Technology Practitioner",
            "state": "MA",
            "license": "8949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MATTHEW",
            "last_name": "MCKENNA",
            "middle_name": "PATRICK",
            "prefix": "MR.",
            "credential": "OT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Meghan Fennell McEachern, LCSW
• Ryan Daniel McEnroe, LICSW
• Sean Joseph McGlew, PSY.D., L.P.
• Patrick McGuire, M.D.
• Rebecca Kathryn McHugh, PH.D.
• Wesleigh Langeland McMahon, LICSW
• Mary Eileen McNamara
• Manuela Paola McShane, LMHC
• Chad M McWhinnie, PH.D.
• Amy Meade, PH.D.

• Rehabilitation Counselor in Belmont, MA
• Providers in Belmont, MA by specialty
• Rehabilitation Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.