Individual provider Active NPI

Jillian Mowry McGarry, M.S., OTR/L

  • Pediatric Occupational Therapist
  • San Diego, CA
National Provider Identifier
1053200998
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
15055 Issued in CA
Practice address
3636 Camino del Rio N Ste 101
San Diego, CA 92108-1722
Phone
(619) 928-1293
NPI assigned
Jul 2, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 15055 CA Primary

Addresses

Primary practice location

3636 Camino del Rio N Ste 101
San Diego, CA 92108-1722

Mailing address

3636 Camino del Rio N Ste 101
San Diego, CA 92108-1722
Phone (619) 928-1293

Other names 1

  • Jillian Mowry Coyne Former name

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
15055CAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Life Cycle Speech Therapy Corporation CurrentSince Dec 21, 2025 Accepting new patients

Locations

3636 Camino del Rio N
Ste 101
San Diego, CA 92108

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1751414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1053200998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3636 CAMINO DEL RIO N STE 101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081722",
            "telephone_number": "619-928-1293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 CAMINO DEL RIO N STE 101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081722",
            "telephone_number": "619-928-1293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGARRY",
        "first_name": "JILLIAN",
        "middle_name": "MOWRY",
        "credential": "M.S., OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-02",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "15055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILLIAN",
            "last_name": "COYNE",
            "middle_name": "MOWRY",
            "credential": "M.S., OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; 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.