Kaitlyn McGowan, MOT, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

056.013932 Issued in IL

Practice address

750 Pasquinelli Dr Ste 204
Westmont, IL 60559-1291

Phone

(630) 560-0136

NPI assigned

Jan 19, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1611014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1043800634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 PASQUINELLI DR STE 204",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605591291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 PASQUINELLI DR STE 204",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605591291",
            "telephone_number": "630-560-0136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGOWAN",
        "first_name": "KAITLYN",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-19",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "IL",
            "license": "056.013932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David A. Maze, O.D.
• Pawel Mazur, MPT
• Julie Marie McDevitt, LCPC
• Roger Scott McDowell, D.C.
• Marin Rose McElroy, PT, DPT
• McIntyre Family Medicine LLC
• Maris Faye McIntyre, D.O.
• McKay Chiropractic & Sports Therapy
• Ross Lee McKay, D.C.
• Kalee McKenna, PA-C

• Pediatric Occupational Therapist in Westmont, IL
• Providers in Westmont, IL by specialty
• Pediatric Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; 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.