Michael McKiernan

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT02023 Issued in RI

Practice address

501 Centerville Rd
Warwick, RI 02886-4347

Phone

(401) 732-5100

NPI assigned

Nov 17, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Inspire Physical Therapy and Wellness, LLC

  • Physical Therapist
  • Westerly, RI
  • NPI 1548847221
  Medicare reassignment

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

{
    "created_epoch": "1637107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1154088862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 PEARL AVE",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028898914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 CENTERVILLE RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864347",
            "telephone_number": "401-732-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKIERNAN",
        "first_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-17",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "RI",
            "license": "OT02023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura H McKenna, PT
• Maureen Lynne McKenna, M.D.
• Tracy Anne McKenna, PHYSICAL THERAPIST
• Paul Francis McKenney, M.D.
• Caroline L McKeown
• Kathleen McLaughlin, DO
• Debbie Marvetta McLean-Roache, FNP
• McLeod Optical Co Inc
• Brianna McLeod
• Cara Ann McLinden, M.S.P.T.

• Occupational Therapist in Warwick, RI
• Providers in Warwick, RI by specialty
• Occupational Therapist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.