Martha McKenna, MOT/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT1304 Issued in ME

Practice address

46 Federal St
Brunswick, ME 04011-2125

Phone

(207) 319-1905

NPI assigned

Aug 17, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Maggie McKenna Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1282003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282003200000",
    "number": "1407161243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 FEDERAL ST",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112125",
            "telephone_number": "207-319-1905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 FEDERAL ST",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112125",
            "telephone_number": "207-319-1905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENNA",
        "first_name": "MARTHA",
        "credential": "MOT/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-17",
        "last_updated": "2010-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "ME",
            "license": "OT1304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAGGIE",
            "last_name": "MCKENNA",
            "credential": "OT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• John Francis McGeough, MD
• Melissa Erin Fitta McGrath, LMSW-CC
• Sonia J McGrath, LCSW
• Peter F. McGuire, M.D.
• China McHold-Burke, LCPC
• Lesley McLafferty
• Tiffany McLaughlin, FNP-C
• Callie Orae McMahon, PAC
• Shawn McMahon, PHYSICIAN ASSISTANT
• Audrey Lynn McMorrow, LPC

• Pediatric Occupational Therapist in Brunswick, ME
• Providers in Brunswick, ME by specialty
• Pediatric Occupational Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2010; 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.