Individual provider Active NPI

Meghan A Kostan, OTR

  • Occupational Therapist
  • Braintree, MA
National Provider Identifier
1407179427
Registry record updated Mar 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
9690 Issued in MA
Practice address
1102 Washington St
Braintree, MA 02184-5438
Phone
(781) 848-3100
NPI assigned
Mar 4, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 9690 MA Primary

Addresses

Primary practice location

1102 Washington St
Braintree, MA 02184-5438

Mailing address

3 Leval Rd # 104
Salem, MA 01970-2815
Phone (978) 273-3968

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251118000860 MA Practitioner - Occupational Therapist in Private Practice 0143711184 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cortlyn Therapy PCGroup PAC ID 8729495684, 141 clinicians

Practice addresses (Care Compare)

65 Briarwood Cir
Worcester, MA 01606-1255
Phone (774) 436-2930

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9690MAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cortlyn Therapy, PC Occupational Therapist CurrentSince Sep 16, 2025 Accepting new patients

Locations

7125 Janes Ave
Ste 300
Woodridge, IL 60517
Phone (630) 413-5817

65 Briarwood Cir
Worcester, MA 01606
Phone (413) 304-2747

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1267660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267660800000",
    "number": "1407179427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 LEVAL RD # 104",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019702815",
            "telephone_number": "978-273-3968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 WASHINGTON ST",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021845438",
            "telephone_number": "781-848-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSTAN",
        "first_name": "MEGHAN",
        "middle_name": "A",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-04",
        "last_updated": "2010-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "9690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Braintree, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.