Active NPI
Meghan Elise Clancy, OT, OTD, OTR
- Occupational Therapist
- Boston, MA
National Provider Identifier
1083434302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OTL15431
- Practice address
- 17 Greenville St
Boston, MA 02119-2315 - Phone
- (774) 269-6761
- NPI assigned
- Oct 11, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OTL15431 | MA | Primary |
Addresses
Primary practice location
17 Greenville St
Boston, MA 02119-2315
Mailing address
187 Minot St Apt 3
Dorchester, MA 02122-2002
Phone (774) 269-6761
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
| License | State | Type | Specialty |
|---|---|---|---|
| OTL15431 | MA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728604800000",
"number": "1083434302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "187 MINOT ST APT 3",
"city": "DORCHESTER",
"state": "MA",
"postal_code": "021222002",
"telephone_number": "774-269-6761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 GREENVILLE ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021192315",
"telephone_number": "774-269-6761"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLANCY",
"first_name": "MEGHAN",
"middle_name": "ELISE",
"name_prefix": "Dr.",
"credential": "OT, OTD, OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-11",
"last_updated": "2024-10-11",
"certification_date": "2024-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "OTL15431",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.