Active NPI
Meghan A Kostan, OTR
- Occupational Therapist
- Braintree, MA
National Provider Identifier
1407179427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 9690
- 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
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 | 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9690 | MA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cortlyn Therapy, PC | Occupational Therapist | Current | 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.