Kathryn Colleran Oommen

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

1 Harvest Cir
Lincoln, MA 01773-3214

Phone

(781) 338-5985

NPI assigned

Apr 4, 2024

Sex

Female

Sole proprietor

No

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, last updated by the provider on Apr 4, 2024.

{
    "created_epoch": "1712188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1093567679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 ELM ST",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021801110",
            "telephone_number": "781-738-8380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HARVEST CIR",
            "city": "LINCOLN",
            "state": "MA",
            "postal_code": "017733214",
            "telephone_number": "781-338-5985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLERAN OOMMEN",
        "first_name": "KATHRYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-04",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• BSL- BN Commons SNF Operator LLC
• BSL- BN Commons SNF Operator LLC
• Jacqueline Butler, LICSW
• Center for Dental Medicine & Reconstruction
• Quinn Kin-Wung Chan, D.M.D.
• Anthony Joseph Cornette, AS
• Nicholas Arthur Covino, PSYD
• Craig Sussman
• Matthew T Cumella, PT, DPT
• Eric Charles Dessain, M.D.

• All providers in Lincoln, MA
• Occupational Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.

Verify at the official NPI Registry.