Active NPI
Katelyn Glynn
- Occupational Therapist
- Newton, MA
National Provider Identifier
1396554036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 15398
- Practice address
- 60 Stein Cir
Newton, MA 02459-3649 - Phone
- (617) 630-4600
- NPI assigned
- Jan 7, 2025
- Last updated
- Jan 7, 2025
- 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 | 15398 | MA | Primary |
Addresses
Primary practice location
60 Stein Cir
Newton, MA 02459-3649
Mailing address
38 Lunt St
Quincy, MA 02171-2310
Phone (857) 526-6962
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 |
|---|---|---|---|
| 15398 | MA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736208000000",
"number": "1396554036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38 LUNT ST",
"city": "QUINCY",
"state": "MA",
"postal_code": "021712310",
"telephone_number": "857-526-6962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 STEIN CIR",
"city": "NEWTON",
"state": "MA",
"postal_code": "024593649",
"telephone_number": "617-630-4600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLYNN",
"first_name": "KATELYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-07",
"last_updated": "2025-01-07",
"certification_date": "2025-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "15398",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.