Kathleen D Macleod, OTRL

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

005361-1 Issued in NY

Practice address

145 Commack Rd
Commack, NY 11725-3438

Phone

(631) 499-5360

NPI assigned

Feb 25, 2007

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Commack Speech & Language Disorders, PLLC

  • Early Intervention Provider Agency
  • Commack, NY
  • NPI 1770727380
  NPD (past)
• Commack Speech and Language

  • Early Intervention Provider Agency
  • Islip, NY
  • NPI 1760792592
  NPD (past)

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

{
    "created_epoch": "1172361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285760397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 WILLIS ST",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117682055",
            "telephone_number": "631-546-5374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 COMMACK RD",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117253438",
            "telephone_number": "631-499-5360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACLEOD",
        "first_name": "KATHLEEN",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "005361-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nora Jan Lynn, LMHC
• Xue Jie Ma, PH.D
• Lynn Tyler Maccio, M.S.
• Christine Mary Machlica, LCSW
• Melissa Macko, LCSW
• Lauren Stacy Madoff, M.A.
• Justine Alexis Mahler, PSY.D.
• Eda Marie Maiello-Pensiero, DDS
• Carle B Maizner, LCSW
• Luis V Maldonado, M.D.

• Pediatric Occupational Therapist in Commack, NY
• Providers in Commack, NY by specialty
• Pediatric Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.