Individual provider Active NPI

Colleen Quinn, OTR/L

  • Pediatric Occupational Therapist
  • Wellesley Hills, MA
National Provider Identifier
1083387880
Registry record updated Jul 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
13309 Issued in MA
Practice address
49 Walnut St BLDG 3
Wellesley Hills, MA 02481-2108
Phone
(781) 239-0100
NPI assigned
Jul 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2021

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 13309 MA Primary

Addresses

Primary practice location

49 Walnut St BLDG 3
Wellesley Hills, MA 02481-2108

Mailing address

1 Thornton St
Quincy, MA 02170-3413
Phone (617) 455-8180

Other practice location 1

10 Tech Cir
Natick, MA 01760-1029
Phone (781) 239-0100

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

State licenses

LicenseStateTypeSpecialty
13309MAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1627430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1083387880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 THORNTON ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021703413",
            "telephone_number": "617-455-8180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 WALNUT ST BLDG 3",
            "city": "WELLESLEY HILLS",
            "state": "MA",
            "postal_code": "024812108",
            "telephone_number": "781-239-0100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Tech Cir",
            "address_purpose": "LOCATION",
            "city": "Natick",
            "state": "MA",
            "postal_code": "017601029",
            "country_code": "US",
            "telephone_number": "781-239-0100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUINN",
        "first_name": "COLLEEN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-28",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MA",
            "license": "13309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellesley Hills, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; 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.