Kelly Nicole Meara, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR00733200 Issued in NJ

Practice address

99 Kinderkamack Rd
Suite 211
Westwood, NJ 07675-3012

Phone

(845) 323-3275

NPI assigned

May 10, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Breast Fit

  • Mastectomy Fitter
  • Westwood, NJ
  • NPI 1538753108
  NPD (past)

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

{
    "created_epoch": "1462838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462838400000",
    "number": "1124474036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 KINDERKAMACK RD",
            "address_2": "SUITE 211",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076753012",
            "telephone_number": "845-323-3275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 KINDERKAMACK RD",
            "address_2": "SUITE 211",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076753012",
            "telephone_number": "845-323-3275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEARA",
        "first_name": "KELLY",
        "middle_name": "NICOLE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-10",
        "last_updated": "2016-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00733200",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "020452-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walter Scott McCann, PT, DPT
• Caitlin McCaul
• Laura Jane McConville, LSW
• John E McNerney, DPM
• Lisa Marie McNerney, ATC
• Maryclaire Mena, LCSW
• Nicole Louise Messick, COTA
• Michael V. Macri, M.D., P.C.
• John A. Mikros, OPTICIAN
• Millenium Health Care Centers II, LLC

• Occupational Therapist in Westwood, NJ
• Providers in Westwood, NJ by specialty
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; 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.